Abstract：
METHODS: A 65-year-old female patient presented with complaints of diffuse pain and swelling in her right wrist with paresthesia in her right hand with thenar wasting. Her magnetic resonance imaging scan was suggestive of flexor tenosynovitis of the wrist with compression of the median nerve with multiple rice bodies. She underwent excisional biopsy along with median nerve decompression. Mycobacterium tuberculosis was detected by polymerase chain reaction (GeneXpert), and histopathology identified caseous granulomas. The patient was started on antitubercular chemotherapy postoperatively.
CONCLUSIONS: In endemic countries such as India, tuberculous flexor tenosynovitis must always be a differential diagnosis in cases of wrist swelling with rice bodies.
CONCLUSIONS: In endemic countries such as India, tuberculous flexor tenosynovitis must always be a differential diagnosis in cases of wrist swelling with rice bodies.
摘要：
方法：一名65岁的女性患者，表现为右手腕弥漫性疼痛和肿胀，右手感觉异常，大鱼间消瘦。她的磁共振成像扫描提示腕部屈肌腱鞘炎，正中神经受多个水稻体压迫。她接受了切除活检和正中神经减压术。通过聚合酶链反应（GeneXpert）检测结核分枝杆菌，组织病理学发现干酪样肉芽肿。患者术后开始接受抗结核化疗。
结论：在印度等地方病国家，结核性屈肌腱鞘炎必须始终是腕关节肿胀的鉴别诊断。
结论：在印度等地方病国家，结核性屈肌腱鞘炎必须始终是腕关节肿胀的鉴别诊断。
