Resumen

PALMA, José et al. Monoarticular tuberculosis of the wrist: a case report. Rev. chil. infectol. [online]. 2017, vol.34, n.5, pp.511-515. ISSN 0716-1018.  http://dx.doi.org/10.4067/S0716-10182017000500511.

Monoarticular tuberculosis of the wrist is a rare presentation of primary tuberculosis, being more common skeletal forms involving the spine. Extraspinal tuberculous osteomyelitis is rare and comprises only 2 to 3% of all cases of osteoarticular Mycobacterium tuberculosis infections. We present a case of a 49 years old female patient, who worked as an hospital cleaning employed without other comorbidity. After a low energy injury of the wrist she suffered pain syndrome diagnosticated as a flexor tendinopathy, managed with nonsteroidal antiinflammatory drugs and physical therapy. Eight months later patient evolves with chronic pain in range of motion of right wrist joint, leading to a complete radiological, surgical biopsy and cultures. Histology, and molecular biology confirmed the wrist joint tuberculosis diagnosis. Pharmacological treatment and physical therapy were initiated with appropriated response.

Palabras clave : Tuberculosis; wrist; joint pain; monoarticular arthritis.

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