ISOLATED TUBERCULOUS TENOSYNOVITIS OF THE RIGHT TIBIALIS ANTERIOR TENDON

Abstract

Musculoskeletal system is responsible for 1‑5% of extra pulmonary tuberculosis (TB) involvement. Foot tendon involvement is very rare, with only a few cases having been reported so far. We report a case of a 15‑yearold female farmer by occupation presented with a 6 month history of progressive painful swelling located anteromedial aspect of lower one third of right leg. Radiographic examinations of cruris and lungs were in normal limits. On ultrasonography (USG), thickening and decreased echogenicity of tibialis anterior tendons. Histopathology revealed multiple granulomas composed of lymphocytes epitheloid cellslangerhans giant cell in a fibro collagenous background suggestive of TB synovial sheath. Surgical debridement followed by six months course of anti-tb treatment was given. Six months follow up showed complete absence of swelling.