Giant Bursitis of Wrist and Multiple Tenosynovitis of Hand with Rice Body Formation: Unusual Case of an Atypical Mycobacteria Infection

Kone Samba,Gbane Mariam,Kouassi Adelaide,Krah K Leopold,Traore Moctar,Koffi Gerard,Ngandeu Astrid

doi:10.4236/ojra.2016.63008

Abstract

We report an unusual manifestation of nontuberculous mycobacterial infection characterized by a giant bursitis on wrist and multiple tenosynovitis with many rice bodies formations. The clinical and radiological examinations are neither rather sensitive nor rather specific. The nuclear imagery of rice bodies formations provides elements of guidance. Cause of absence of the germ isolation, diagnosis was retained on probability items based on a suspicion of arguments beam: clinical, biological, bacteriological and histological. The patient was treated with medical and surgical procedure and provided a satisfactory evolution. At follow-up of 15 months, there were no clinical signs of local recurrence. Through a literature review, the problem of diagnosis of certainty will be discussed.

Highlights

IntroductionInflammation of the synovium (bursa, tendon sheath) with rice body is a particular clinical entity and little at-
Inflammation of the synovium with rice body is a particular clinical entity and little at-How to cite this paper: Samba, K., Leopold, K.K., Mocta, T., Mariam, G., Gerard, K., Adelaide, K. and Astrid, N. (2016) Giant Bursitis of Wrist and Multiple Tenosynovitis of Hand with Rice Body Formation: Unusual Case of an Atypical Mycobacteria Infection
Rice bodies formations are classically reported during non-infectious chronic inflammatory process [2] [3] or at the time caused by Mycobacterium tuberculosis [4] [5]

Summary

Introduction

Inflammation of the synovium (bursa, tendon sheath) with rice body is a particular clinical entity and little at-. (2016) Giant Bursitis of Wrist and Multiple Tenosynovitis of Hand with Rice Body Formation: Unusual Case of an Atypical Mycobacteria Infection. Nontuberculous mycobacteria (NTM) or atypical mycobacteria are acid-fast bacillus (AFB) including that more than fifty species have been identified. They were found in the environment hydrotellurique (wet soil, waterways, marsh, estuary) [8]. In some circumstances and during at the time of supporting (environment, occupation, land), it may affect synovial bursa and tendon sheaths with non-specific clinical or unusual expressions. We report an unusual case of concomitant infection to non-tuberculosis mycobacteria characterized by a giant bursitis of the wrist, multiple tenosynovitis of flexor of hand with rice bodies’ formations

Case Report

Discussion

Conclusions