Author(s)

Kone Samba^1*, Krah K. Leopold², Traore Moctar³, Gbane Mariam⁴, Koffi Gerard¹, Kouassi Adelaide², Ngandeu Astrid⁴

¹Traumatology and Orthopedics Surgery of the University Hospital of Cocody, Abidjan, Cote d'Ivoire.
²Traumatology and Orthopedics Surgery of the University Hospital of Bouaké, Bouaké, Cote d’Ivoire.
³Traumatology and Orthopedics Surgery of the University Hospital of Treichville, Abidjan, Cote d’Ivoire.
⁴Rheumatology Service of the University Hospital of Cocody, Abidjan, Cote d’Ivoire.

We report an unusual manifestation of nontuberculous mycobacterial infection characterized by a giant bursitis on wrist and multiple tenosynovitis with many rice bodies formations. The clinical and radiological examinations are neither rather sensitive nor rather specific. The nuclear imagery of rice bodies formations provides elements of guidance. Cause of absence of the germ isolation, diagnosis was retained on probability items based on a suspicion of arguments beam: clinical, biological, bacteriological and histological. The patient was treated with medical and surgical procedure and provided a satisfactory evolution. At follow-up of 15 months, there were no clinical signs of local recurrence. Through a literature review, the problem of diagnosis of certainty will be discussed.

Rice Body Formations, Nontuberculous Mycobacteria, Tenosynovitis, Bursitis, Hand

Samba, K. , K. Leopold, K. , Moctar, T. , Mariam, G. , Gerard, K. , Adelaide, K. and Astrid, N. (2016) Giant Bursitis of Wrist and Multiple Tenosynovitis of Hand with Rice Body Formation: Unusual Case of an Atypical Mycobacteria Infection. Open Journal of Rheumatology and Autoimmune Diseases, 6, 45-50. doi: 10.4236/ojra.2016.63008.