Refractory tenosynovitis with 'rice bodies' in the hand due to Mycobacterium intracellulare.
Refractory tenosynovitis with 'rice bodies' in the hand due to Mycobacterium intracellulare.
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DOI：
10.1007/s15010-015-0844-0
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发表时间：
2016-06
期刊：
影响因子：
7.5
通讯作者：
Hasegawa N
中科院分区：
文献类型：
--
作者：
Namkoong H;Fukumoto K;Hongo I;Hasegawa N
一位76岁男性，因左手拇指及大鱼际肿胀及压痛2个月而就诊。患者患有2型糖尿病。1年前，他的左手被狗咬伤，伤口未经治疗自行愈合。他最初被诊断为非感染性腱鞘炎，并反复接受类固醇注射（图1a）。此后，进行开放式诊断性引流，目视观察手部是否存在“米体”（图1 B）。
A 76-year-old man presented with a 2-month history of swelling and tenderness of the left thumb and thenar. The patient had type 2 diabetes mellitus. He had been bitten by a dog on the left hand 1 year previously, and the wound had healed without treatment. He was initially diagnosed with non-infectious tenosynovitis and received steroid injections repeatedly (Fig. 1 a). Thereafter, open diagnostic-drainage was performed, and the presence of ‘rice bodies’ was visually noted in the hand (Fig. 1 b).