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01-06-2015 | Case Reports

Attritional extensor tendon rupture in a patient with Phialophora verrucosa tenosynovitis: case report

Authors: Michael Sorkin, Theodore A. Kung, Kevin C. Chung

Published in: HAND | Issue 2/2015

Abstract

Deep tissue fungal infections of the hand are exceedingly uncommon. We present a case of fungal tenosynovitis caused by Phialophora verrucosa that led to extensor tendon rupture in a patient who was on chronic immunosuppressive therapy. Indolent fungal cysts can elude clinical diagnosis until excision is performed with definitive pathologic examination. In immunocompromised patients, antifungal therapy may be warranted after cyst excision even in the absence of acute infection to prevent subsequent progression to tenosynovitis.

Arakaki O, Asato Y, Yagi N, et al. Phaeohyphomycosis caused by Exophiala jeanselmei in a patient with polymyalgia rheumatica. J Dermatol. 2010;37:367–73.CrossRefPubMed

Bruno KM, Farhoomand L, Libman BS, et al. Cryptococcal arthritis, tendinitis, tenosynovitis, and carpal tunnel syndrome: report of a case and review of the literature. Arthritis Rheum. 2002;47:104–8.CrossRefPubMed

Chahal J, Dhotar HS, Anastakis DJ. Phaeohyphomycosis infection leading to flexor tendon rupture: a case report. Hand (N Y). 2009;4:335–8.CrossRef

Kimura M, Goto A, Furuta T, et al. Multifocal subcutaneous phaeohyphomycosis caused by Phialophora verrucosa. Arch Pathol Lab Med. 2003;127:91–3.PubMed

McDonald LS, Bavaro MF, Hofmeister EP, et al. Hand infections. J Hand Surg [Am]. 2011;36:1403–12.CrossRef

Medlar EM. A cutaneous infection caused by a new fungus, Phialophora verrucosa, with a study of the fungus. J Med Res. 1915;32:507–522.9.PubMedCentralPubMed

Musial CE, Cockerill 3rd FR, Roberts GD. Fungal infections of the immunocompromised host: clinical and laboratory aspects. Clin Microbiol Rev. 1988;1:349–64.PubMedCentralPubMed

Park SG, Oh SH, Suh SB, et al. A case of chromoblastomycosis with an unusual clinical manifestation caused by Phialophora verrucosa on an unexposed area: treatment with a combination of amphotericin B and 5-flucytosine. Br J Dermatol. 2005;152:560–4.CrossRefPubMed

Stratton CW, Lichtenstein KA, Lowenstein SR, et al. Granulomatous tenosynovitis and carpal tunnel syndrome caused by Sporothrix schenckii. Am J Med. 1981;71:161–4.CrossRefPubMed

10.

Ziefer A, Connor DH. Phaeomycotic cyst. A clinicopathologic study of twenty-five patients. Am J Trop Med Hyg. 1980;29:901–11.PubMed

Title: Attritional extensor tendon rupture in a patient with Phialophora verrucosa tenosynovitis: case report
Authors: Michael Sorkin
Theodore A. Kung
Kevin C. Chung
Publication date: 01-06-2015
Publisher: Springer US
Published in: HAND / Issue 2/2015
Print ISSN: 1558-9447
Electronic ISSN: 1558-9455
DOI: https://doi.org/10.1007/s11552-014-9700-4

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Attritional extensor tendon rupture in a patient with Phialophora verrucosa tenosynovitis: case report

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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