RESUMO
Non-tuberculous mycobacteria are a known cause of skin and soft tissue infections. However, only too often it takes inordinately long to arrive at the appropriate diagnosis and start treatment. Actively searching for predilection factors, exposure risks and specific clinical clues may speed up the diagnostic process. Deep tissue biopsy cultures are indispensable to determine the species and strain of mycobacterium, with important consequences for treatment. Less well known as a causative agent of prolonged tenosynovitis is Mycobacterium tuberculosis. We present a case series and performed a literature search concerning mycobacterial tenosynovitis.
Assuntos
Antituberculosos/administração & dosagem , Mycobacterium tuberculosis/isolamento & purificação , Micobactérias não Tuberculosas/isolamento & purificação , Infecções dos Tecidos Moles/microbiologia , Tenossinovite/microbiologia , Tuberculose Cutânea/microbiologia , Idoso , Idoso de 80 Anos ou mais , Antibacterianos/administração & dosagem , Biópsia por Agulha , Diagnóstico Diferencial , Feminino , Humanos , Imuno-Histoquímica , Masculino , Pessoa de Meia-Idade , Prognóstico , Medição de Risco , Estudos de Amostragem , Infecções dos Tecidos Moles/tratamento farmacológico , Infecções dos Tecidos Moles/patologia , Tenossinovite/tratamento farmacológico , Tenossinovite/parasitologia , Resultado do Tratamento , Tuberculose Cutânea/tratamento farmacológico , Tuberculose Cutânea/patologiaRESUMO
An adult channel-billed toucan (Ramphastos vitellinus), imported from Surinam, South America, 18 months earlier, was found dead in its cage. At necropsy, the hock joints were swollen bilaterally and had a reduced range of motion. Small curled worms were present in subcutaneous tissue around the joints, with edema and fibrin formation. These worms were classified as the filarioid nematode, Pelecitus species. Blood-borne microfilariae were seen in cytologic impression smears of the lung and the leg lesions.
Assuntos
Doenças das Aves/patologia , Aves , Espirurídios/classificação , Tenossinovite/veterinária , Animais , Evolução Fatal , Membro Posterior/patologia , Tarso Animal/parasitologia , Tarso Animal/patologia , Tenossinovite/parasitologiaAssuntos
Animais Domésticos/parasitologia , Doenças das Aves/parasitologia , Filariose/veterinária , Papagaios/parasitologia , Psittaciformes/parasitologia , Tenossinovite/veterinária , Animais , Doenças das Aves/patologia , Feminino , Filariose/parasitologia , Filariose/patologia , Filarioidea , Masculino , Microfilárias/isolamento & purificação , Tenossinovite/parasitologia , Tenossinovite/patologiaRESUMO
A 36-year-old white male schoolteacher presented with a painless, semifluctuant mass on the volar aspect of his forearm and symptoms of ring finger tenosynovitis and median nerve compression. At operation there was a widespread infestation of the flexor tendon compartment, the carpal tunnel, and the tendon sheaths of the ringer finger with Onchocerca volvulus, a filarial nematode, not previously reported in the these tissues.
Assuntos
Antebraço/parasitologia , Doenças Musculares/parasitologia , Oncocercose/complicações , Adulto , Canadá , Europa (Continente) , Antebraço/cirurgia , Granuloma/parasitologia , Granuloma/patologia , Humanos , Masculino , Nervo Mediano , Síndromes de Compressão Nervosa/parasitologia , Oncocercose/patologia , Tenossinovite/parasitologia , ViagemRESUMO
A case of chronic tendovaginitis was found to be caused by parasites (filariae). The parasites had apparently been killed by the treatment of the disease. Histologic investigations showed that this pathologic process was a case of the granulomatous form of tendovaginitis. Differentiation from the other forms of tendovaginitis was clearly established by the morphologic picture.
