Wrist Tenosynovitis due to Mycobacterium bovis Infection: Case Series and Review of the Literature
| Autor: | Umut Bektaş, Mehmet Armangil, Haldun Onuralp Kamburoğlu, Sadan Ay, Mehmet Derviş Güner, Ramazan Akmeşe |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
Mycobacterium bovis
biology business.industry lcsh:Surgery Case Reports Mycobacterium pinnipedii lcsh:RD1-811 biology.organism_classification Mycobacterium caprae Microbiology Mycobacterium tuberculosis Mycobacterium tuberculosis complex Mycobacterium microti Immunology Medicine Surgery business Mycobacterium africanum Mycobacterium marinum |
| Zdroj: | Plastic and Reconstructive Surgery, Global Open, Vol 2, Iss 12, p e262 (2014) Plastic and Reconstructive Surgery Global Open |
| ISSN: | 2169-7574 |
| Popis: | Tuberculosis infections are still one of the most important public health problems among developing countries. Musculoskeletal involvement represents 10–15% of all extrapulmonary cases. Upper extremity involvement is extremely rare.1 Tuberculosis tenosynovitis of the wrist is uncommon, and this may cause misdiagnosis, which will be discussed further. Mycobacterium canettii, Mycobacterium tuberculosis, Mycobacterium africanum, Mycobacterium microti, Mycobacterium pinnipedii, Mycobacterium caprae, and Mycobacterium bovis are the members of the Mycobacterium tuberculosis complex (MTC). Mycobacterium marinum is another microorganism, which causes hand infections among fishermen and cooks. M. bovis displays the broadest spectrum of host infection, including humans and domestic or wild bovines and goats.2,3 Main contamination source for humans is the usage of unpasteurized milk; however, direct contact with infected animals and inhalation of contagious aerosols are causes of infection in humans. Transmission from human to human is extremely rare; on the other hand, this would be seen in immunosuppressed patients.4 After developing of the advanced pasteurization techniques, contamination by gastrointestinal system became less important. However, milkers, livestock farmers, and slaughterhouse workers are still at risk for contamination with inhalation and direct contact. In Western Europe, only a few bacteriologically proven human tuberculosis cases have been reported due to M. bovis.5–7 Mycobacterial culture is still one of the most sensitive ways to diagnose mycobacterial infections. There are several methods for molecular typing of MTC isolates. Restriction fragment length polymorphism based on IS6110 polymorphism is current “gold standard” in molecular epidemiological studies of mycobacterial infections.8 Polymerase chain reaction is another genetic test to differentiate MTC members. M. bovis is thought to be responsible for 5–10% of all tuberculous infections. This report presents 3 patients with wrist tenosynovitis caused by M. bovis infection. The article also includes review of the literature. Principles outlined in the Declaration of Helsinki were followed in this study. |
| Databáze: | OpenAIRE |
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