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Sporothrix schenckii tenosynovitis: a case report
The Journal of Hand Surgery
|May 1, 1986
Summary
Sporothrix schenckii fungus caused tenosynovitis and tendon rupture. Surgical repair and ketoconazole treatment resolved the infection and a pulmonary nodule.
Area of Science:
- Medical Mycology
- Infectious Diseases
- Surgical Pathology
Background:
- Sporothrix schenckii is a dimorphic fungus endemic in many regions.
- It typically causes lymphocutaneous sporotrichosis, affecting skin and subcutaneous tissues.
- Disseminated or atypical presentations, such as tenosynovitis, are less common.
Observation:
- A patient presented with tenosynovitis caused by Sporothrix schenckii, leading to extensor tendon rupture.
- Surgical intervention involved excision of affected tenosynovium and tendon repair.
- A 1 cm pulmonary nodule was incidentally detected on chest X-ray.
Findings:
- Surgical management combined with five months of oral ketoconazole (400 mg daily) was effective.
- The treatment led to complete resolution of the synovial disease.
- The pulmonary nodule showed regression following systemic antifungal therapy.
Implications:
- This case highlights the importance of considering Sporothrix schenckii in atypical musculoskeletal infections.
- Aggressive surgical and medical management can achieve favorable outcomes in complex sporotrichosis cases.
- Systemic antifungal treatment may also impact incidental pulmonary findings in sporotrichosis patients.