Brucellosis as a Primary Cause of Flexor Tenosynovitis on the Hand: Case Report and Literature Review

Journal of Hand and Microsurgery

Josep Cortina¹  Alex Lluch¹  Sergi Barrera-Ochoa¹  Xavier Mir-Bullo¹ 

[1] Hand Surgery Unit. Orthopaedic Surgery, Hospital Universitari Vall d’Hebron, Barcelona, Spain

关键词: Brucellosis;    Tenosynovitis;    Tendon;    Synovitis;    Hand;    Fingers;   

DOI  :  10.1007/s12593-014-0122-x

学科分类：外科医学

来源: Thieme Medical and Scientific Publishers Pvt. Ltd.

【 摘 要 】

Brucellosis is primarily a disease of animals but is often transmitted to man either by drinking raw milk; by direct contact through the broken skin or the conjunctiva; or by the inhalation of infected dust [1]. Currently Brucella melitensis remains the principal cause of human brucellosis worldwide [2, 3]. Brucellosis is a zoonosis that usually affects the musculoskeletal system. Vertebral bodies, particularly in the lumbar region, are the bones more frequently involved [4]. Osteoarticular involvement in the hand and wrist is not common, and development of secondary tenosynovitis in the course of a brucellar infection is even more unusual [5, 6]. There are no previous references to flexor tenosynovitis without osteoarticular involvement caused by Brucella. As far as we know, this is the first reported case of a primary brucellar tenosynovitis.

【 授权许可】

Unknown