Rice bodies are known to form in patients with certain inflammatory conditions such as rheumatoid arthritis and seronegative inflammatory arthritis. However, in this article, we focus on the infectious causes of tenosynovitis of the hand, especially mycobacterial infections, and the importance of diagnosis before treatment, especially before a steroid injection is given. We present a patient with tenosynovitis of the flexor tendon of the third finger who underwent an incision and drainage procedure. During the operation, multiple soft white beads were discovered and identified as rice bodies. Cultures of the specimen were positive for Mycobacterium avium intracellulare.
From the *Division of Infectious Diseases and International Medicine, University of South Florida College of Medicine, Tampa, FL; †University of South Florida Morsani College of Medicine, Tampa, FL; ‡Center for Sarcoma and Connective Tissue Oncology, Massachusetts General Hospital, Harvard Medical School, Boston, MA; §USF-India HIV/AIDS Research Training Center, University of South Florida, Tampa, FL; and ∥Moffitt Cancer Center and Research Institute; and University of South Florida College of Medicine, Tampa, FL.
Correspondence to: John N. Greene, MD, FACP, Moffitt Cancer Center and Research Institute; and University of South Florida College of Medicine, 12902 Magnolia Dr, Mailstop: FOB-3, Tampa, FL 33612-9497. E-mail: firstname.lastname@example.org.
The authors have no funding or conflicts of interest to disclose.