Abstract

Tenosynovitis is a rare complication in the course of brucellosis, and may cause relapse if it is not treated with appropriate treatment options. We describe a case of peroneal tenosynovitis primarily associated with Brucella, the first one reported in the literature to the best of our knowledge. A 45-year-old woman suffering from fever and night sweating in addition to her right ankle pain, redness and swelling for a month was admitted. Standard tube agglutination (STA) test was found to be positive with a titer of 1/320. The patient was diagnosed with brucellosis and treated with a combination of doxycycline and rifampicin for six weeks. Her complaints disappeared after the treatment, but two months later she applied again with a similar clinical picture. In the second admission, STA and rivanol tube agglutination tests were positive with a titer of 1/640 and 1/320, respectively. Magnetic resonance imagining of the right ankle joint showed extensive tenosynovitis of the right peroneal tendons, and effusion of subtalar joint associated with synovitis. She was accepted as relapsed brucellosis complicated by peroneal tenosynovitis according to the clinical, laboratory and radiological findings. After 12 weeks of ciprofloxacin and co-trimoxazole, and 3 weeks of streptomycin treatment, she fully recovered without any failure or relapse. Klimik Dergisi 2018; 31(3): 247-50.

Cite this article as: Acar A, Uzar H, Haykır-Solay A, Şencan İ. [Brucellosis as a primary cause of peroneal tenosynovitis: case report and literature review]. Klimik Derg. 2018; 31(3): 247-50. Turkish.