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Journal of Clinical Microbiology, February 2005, p. 988-990, Vol. 43, No. 2
0095-1137/05/$08.00+0     doi:10.1128/JCM.43.2.988-990.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.

CASE REPORT

Tenosynovitis of the Wrist Due to Resistant Mycobacterium tuberculosis in a Heart Transplant Patient

Alexandre Le Meur,1* Cédric Arvieux,2 Pascal Guggenbuhl,3 Michel Cormier,1 and Anne Jolivet-Gougeon1

Microbiology Laboratory UPRES-EA 1254,1 Department of Rheumatology,2 Department of Infectious Diseases, University Hospital, Rennes, France3

Received 8 July 2004/ Returned for modification 4 August 2004/ Accepted 5 September 2004

Tubercular tenosynovitis is now rare, which can delay diagnosis of this disease. We report a case of tenosynovitis of the wrist in a heart transplant patient caused by an isoniazid- and streptomycin-resistant Mycobacterium tuberculosis strain. Despite immunosuppression therapy, which can lead to a smoldering evolution, molecular biology analysis of biopsies allowed a rapid diagnosis.


* Corresponding author. Mailing address: Laboratoire de Bactériologie et de Sérologie Bactérienne, Centre Hospitalier Universitaire Hôpital Sud, 16 Boulevard de Bulgarie, 35056 Rennes, France. Phone: 33-2-99-26-71-50. Fax: 33-2-99-26-71-16. E-mail: alexandre.le-meur{at}chu-rennes.fr.


Journal of Clinical Microbiology, February 2005, p. 988-990, Vol. 43, No. 2
0095-1137/05/$08.00+0     doi:10.1128/JCM.43.2.988-990.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.




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