Evidence map›Paper›PMID 41777807›Full record

ArticleIDCases2026

Tuberculous tenosynovitis as the initial presentation of disseminated tuberculosis in a patient with uncontrolled diabetes: A case report and review of literature.

Eunice Susan Thomson, Merlin Moni, Balu Chandrababu, Anil Kumar, Dipu T Satyapalan, Nivedita Suresh, Anna Kurian, Kiran G Kulirankal

Abstract readCase Reports
In one paragraph

Article in IDCases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Eunice Susan ThomsonDepartment of General Medicine, Jubilee Mission Medical College and Research Institute, Thrissur, Kerala, India.
Merlin MoniDivision of Infectious Diseases, Department of General Medicine, Amrita Institute of Medical Sciences, Kochi, Kerala, India.
Balu ChandrababuDepartment of Orthopaedics, Amrita Institute of Medical Sciences, Kochi, Kerala, India.
Anil KumarDepartment of Microbiology, Amrita Institute of Medical Sciences, Kochi, Kerala, India.
Dipu T SatyapalanDivision of Infectious Diseases, Department of General Medicine, Amrita Institute of Medical Sciences, Kochi, Kerala, India.
Nivedita SureshDepartment of Pathology, Amrita Institute of Medical Sciences, Kochi, Kerala, India.
Anna KurianDepartment of Microbiology, Amrita Institute of Medical Sciences, Kochi, Kerala, India.
Kiran G KulirankalDivision of Infectious Diseases, Department of General Medicine, Amrita Institute of Medical Sciences, Kochi, Kerala, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A middle-aged woman with uncontrolled type 2 diabetes mellitus presented with pain in the right arm for 1 year, multiple gradually increasing painful swellings across her right wrist for 6 months, and intermittent fever of 3 months duration. She developed painful flexion and extension of the right ring and middle fingers as well as the right wrist. Physical examination revealed flexion contractures in the right and middle finger, mobile and non-tender axillary lymph nodes. Blood examination revealed an elevated erythrocyte sedimentation rate. An externally performed magnetic resonance imaging of the right wrist revealed multiple inflammatory swellings involving several tendon sheaths. A tendon sheath biopsy revealed multiple rice bodies within the tendon sheath. The tissue sample tested positive for acid-fast bacilli (AFB), and nucleic acid amplification test (NAAT/ Gene Xpert) result was positive. Chest radiography revealed bilateral infiltrates. The patient was initiated on anti-tubercular therapy with which she improved symptomatically.

Indexed as

Diabetes mellitusDisseminated tuberculosisExtrapulmonary tuberculosisRice bodiesTuberculous tenosynovitis

Identifiers

PMID41777807
PMCPMC12950461

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.