ABSTRACT
Extrapulmonary tuberculosis, and especially articular, is less frequent than their pulmonary form. We report a 59 year-old men that requests medical attention for suggestive symptoms of carpal tunnel syndrome, of which is operated, being demonstrated in the carpo a granulomatous tissue including the median nerve suggestive of sarcoidosis or tuberculosis. In sputum the presence of Micobacterium tuberculosis was demonstrated. The respiratory symptoms of pulmonary tuberculosis were for the patient less excellent symptoms in relation to those produced by compression of the median nerve. The relationship between the tuberculosis and the carpal tunnel syndrome is demonstrated.
Subject(s)
Carpal Tunnel Syndrome/microbiology , Tuberculosis, Osteoarticular/microbiology , Tuberculosis, Pulmonary/microbiology , Carpal Tunnel Syndrome/diagnosis , Carpal Tunnel Syndrome/surgery , Decompression, Surgical/methods , Electromyography , Humans , Male , Median Nerve/pathology , Median Nerve/surgery , Middle Aged , Mycobacterium tuberculosis/isolation & purification , Radiography, Thoracic , Sputum/microbiology , Treatment Outcome , Tuberculosis, Pulmonary/diagnostic imagingABSTRACT
La tuberculosis de localización extrapulmonar, y especialmente articular, es menos frecuente que su forma pulmonar. Reportamos un paciente varón de 59 años que solicita atención médica por síntomas sugestivos de síndrome del tunel del carpo, del cual es operado demostrándose en el carpo un tejido granulomatoso englobando el nervio mediano sugestivo de sarcoidosis o tuberculosis. Mediante estudio del esputo se demuestra la presencia de Micobacterium tuberculosis. Se destaca que los síntomas respiratorios sugestivos de tuberculosis pulmonar fueron para el paciente síntomas menos relevantes en relación a aquellos producidos por compresión del nervio mediano. Se demuestra la relación entre la tuberculosis y el síndrome del tunel del carpo (AU)
