PMC3562569_01
Swelling and erythema on the volar aspect of the small finger and thumb of the left hand.
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fig1
This time with swelling and erythema involving the small finger and the thumb and a painful wrist (Figures 1, 2, and 3).
Swelling and erythema on the volar aspect of the small finger and thumb of the left hand.
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PMC3562569_01_CRIM.ORTHOPEDICS2013-587176.002.jpg
fig2
This time with swelling and erythema involving the small finger and the thumb and a painful wrist (Figures 1, 2, and 3).
Swelling and erythema on the dorsal aspect of the small finger and thumb of the left hand.
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PMC3562569_01_CRIM.ORTHOPEDICS2013-587176.003.jpg
fig3
This time with swelling and erythema involving the small finger and the thumb and a painful wrist (Figures 1, 2, and 3).
The left hand with marked fluid and proliferation of the synovial sheaths in the carpal tunnel.
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fig4
Cultures for aerobic, anaerobic, acid fast bacilli, and fungus were taken along with a synovial sheath biopsy (Figure 4).
The left hand with irrigation system consisting of a pediatric feeding tube size number 5 Fr inserted into the synovial sheath with open-tube drainage. Loosely sutured skin to allow drainage.
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fig5
The skin was loosely sutured to allow drainage (Figure 5).
Pathology specimen demonstrating granulomatous tenosynovitis with acid fast bacilli.
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fig6
The pathology specimen demonstrated granulomatous tenosynovitis with acid fast bacilli (Figure 6).
Mycobacterial tissue cultures demonstrating Mycobacterium marinum.
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fig7
Two and a half weeks after his surgical procedure, M. marinum was isolated from mycobacterial tissue cultures (Figure 7).