Opinion | DOI: https://doi.org/10.31579/2767-7370/031
Associate Prof of Surgery Cum Consultant Surgeon, BAAIGM, Dhaka, Bangladesh
*Corresponding Author: Chishti Tanhar Bakth Choudhury, Associate Prof of surgery Cum Consultant Surgeon, Baaigm, Dhaka, Bangladesh
Citation: Bakth Choudhury CT (2023), Dorsal Wrist Lesion, a Ganglion Presenting with Extrapulmonary TB –A Case Report, J New Medical Innovations and Research, 4(2); DOI:10.31579/2767-7370/031
Copyright: © 2023, Chishti Tanhar Bakth Choudhury. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Received: 20 April 2023 | Accepted: 28 April 2023 | Published: 11 May 2023
Keywords: variability; correlation coefficient; path analysis; mungbean
Compound dorsal ganglion around wrist joint accompanying with extrapulmonary Tuberculosis is a concern in tubercular pathology. Sometimes this lesion can compress over neuravascular structures. Weakness, malaise, febrile episodes, wt. loss, poor appetite, nausea are the constitutional symptoms. Definitive diagnosis by excisional biopsy and anti tubercular therapy can cure the disease with follow up.
A 22 years female, garments worker has been suffering from occasional fever, anorexia, wt. loss and a progressive lesion in rt.wrist joint area for >6 months. Lump size is apprx. 5cmx3cm, not looking in typical ganglionic and for this symptoms she underwent several investigations including endoscopy upper GI and colonoscopy. All investigations are non significant excepting raised ESR. Initial unusal lumpness she advised for FNA which was suspicious and then excisional biopsy done under L/A which reveals granulomatous inflammation consistent with TB. Patient is now referred to TB center for further treatment and follow up.
Extra pulmonary TB may present with lesion in lymph node of cervical area, axilla and inguinal region. According to WHO, Tuberculosis is major health concern in world population. Extrapulmonary TB is more than >40% in world population of TB.
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