Isoniazid-induced Tenosynovitis: A Rare Case Report

The presentation of pain and numbness in flexor tendons of wrist in a patient on anti-tuberculosis treatment (ATT) with isoniazid should raise a suspicion for possible tenosynovitis. Commonly, tenosynovitis affects the wrist, hand, and fingers, although it can occur in any tendon sheath in the body....

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Main Authors: Piyush Kumar Jain, Pradeep Nirala, Mazher Maqusood, Ravi Shankar Mishra, Abhishek Kumar, Pooja Sindwani, Ravindra Nath
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:Acta Medica International
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Online Access:https://journals.lww.com/10.4103/amit.amit_63_24
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author Piyush Kumar Jain
Pradeep Nirala
Mazher Maqusood
Ravi Shankar Mishra
Abhishek Kumar
Pooja Sindwani
Ravindra Nath
author_facet Piyush Kumar Jain
Pradeep Nirala
Mazher Maqusood
Ravi Shankar Mishra
Abhishek Kumar
Pooja Sindwani
Ravindra Nath
author_sort Piyush Kumar Jain
collection DOAJ
description The presentation of pain and numbness in flexor tendons of wrist in a patient on anti-tuberculosis treatment (ATT) with isoniazid should raise a suspicion for possible tenosynovitis. Commonly, tenosynovitis affects the wrist, hand, and fingers, although it can occur in any tendon sheath in the body. This is a case report illustrates the occurrence of tenosynovitis in a 60-year-old female subsequent to the initiation of anti-tubercular therapy (ATT) containing isoniazid (INH). The patient presented 2 weeks, without a history of trauma. Clinical examination and diagnostic work-up confirmed tenosynovitis, ruling out other causes of musculoskeletal symptoms. Although rare, INH-induced tenosynovitis should be considered, especially in patients with normal uric acid and rheumatoid arthritis factor levels. Regular monitoring for musculoskeletal side effects during ATT is crucial for timely detection and management. The objective of this case report is to highlight the rare occurrence of INH-induced tenosynovitis and emphasize the importance of its early detection and treatment.
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institution Kabale University
issn 2349-0578
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language English
publishDate 2024-12-01
publisher Wolters Kluwer Medknow Publications
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spelling doaj-art-fc28dbfbdbd34669a9f7a646550d1b602025-01-06T14:27:38ZengWolters Kluwer Medknow PublicationsActa Medica International2349-05782349-08962024-12-0111326927110.4103/amit.amit_63_24Isoniazid-induced Tenosynovitis: A Rare Case ReportPiyush Kumar JainPradeep NiralaMazher MaqusoodRavi Shankar MishraAbhishek KumarPooja SindwaniRavindra NathThe presentation of pain and numbness in flexor tendons of wrist in a patient on anti-tuberculosis treatment (ATT) with isoniazid should raise a suspicion for possible tenosynovitis. Commonly, tenosynovitis affects the wrist, hand, and fingers, although it can occur in any tendon sheath in the body. This is a case report illustrates the occurrence of tenosynovitis in a 60-year-old female subsequent to the initiation of anti-tubercular therapy (ATT) containing isoniazid (INH). The patient presented 2 weeks, without a history of trauma. Clinical examination and diagnostic work-up confirmed tenosynovitis, ruling out other causes of musculoskeletal symptoms. Although rare, INH-induced tenosynovitis should be considered, especially in patients with normal uric acid and rheumatoid arthritis factor levels. Regular monitoring for musculoskeletal side effects during ATT is crucial for timely detection and management. The objective of this case report is to highlight the rare occurrence of INH-induced tenosynovitis and emphasize the importance of its early detection and treatment.https://journals.lww.com/10.4103/amit.amit_63_24adverse drug reactiontenosynovitistuberculosis
spellingShingle Piyush Kumar Jain
Pradeep Nirala
Mazher Maqusood
Ravi Shankar Mishra
Abhishek Kumar
Pooja Sindwani
Ravindra Nath
Isoniazid-induced Tenosynovitis: A Rare Case Report
Acta Medica International
adverse drug reaction
tenosynovitis
tuberculosis
title Isoniazid-induced Tenosynovitis: A Rare Case Report
title_full Isoniazid-induced Tenosynovitis: A Rare Case Report
title_fullStr Isoniazid-induced Tenosynovitis: A Rare Case Report
title_full_unstemmed Isoniazid-induced Tenosynovitis: A Rare Case Report
title_short Isoniazid-induced Tenosynovitis: A Rare Case Report
title_sort isoniazid induced tenosynovitis a rare case report
topic adverse drug reaction
tenosynovitis
tuberculosis
url https://journals.lww.com/10.4103/amit.amit_63_24
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