Phaeoacremonium Tenosynovitis of the Wrist

Aizawa, Tetsushi; Domoto, Takashi; Aoki, Shimpo; Azuma, Ryuichi; Kiyosawa, Tomoharu

doi:10.1016/j.jhsa.2016.11.021

Cited by 4 publications

(2 citation statements)

References 10 publications

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“…The most common clinical manifestation is eumycetoma, but Phaeoacremonium can cause other clinical manifestations, especially in the immunosuppressed host. These include onychomycosis [ 9 ], endophthalmitis [ 10 ], endocarditis [ 11 ] myositis [ 12 ], tenosynovitis [ 13 ], central nervous system infection [ 14 ], respiratory tract infection [ 15 ] and disseminated disease [ 16 ]. Some of the patients with the above manifestations were immunosuppressed; most were transplant patients [ 16 ] with a few cases suffering from underlying malignancies or receiving treatment with infliximab [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

The type isolate of a rare Phaeoacremonium species as a cause of human eumycetoma

Belkin

Summerbell

Krajden

et al. 2020

Medical Mycology Case Reports

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An isolate of unknown identity that had been identified as causing eumycetoma was retained in an international culture collection, and eventually became the nomenclatural type isolate of the rarely encountered Phaeoacremonium sphinctrophorum . The case featured an indurated, painless, swollen lesion on the dorsum of the foot that had developed in a Canadian resident who had previously been a farmer in Laos. Resection alone was curative.

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Section: Discussionmentioning

confidence: 99%

The type isolate of a rare Phaeoacremonium species as a cause of human eumycetoma

Belkin

Summerbell

Krajden

et al. 2020

Medical Mycology Case Reports

View full text Add to dashboard Cite

show abstract

“…Atypical infections caused by Mycobacterium tuberculosis (TB) [103][104][105][106][107] , nontuberculous mycobacteria (NTM) 104,[108][109][110][111][112][113] , and fungi 104,[114][115][116][117] were associated with delays in diagnosis, and the authors suggest a need for a heightened index of suspicion 103,104,110 , and when ordered, 2.4% of cultures were positive for acid-fast bacilli (AFB) and 5.3% were positive for fungi 104 . M. marinum is the most common NTM, but several other species were also investigated [108][109][110]112,113 .…”

Section: Hand Surgerymentioning

confidence: 99%

What’s New in Musculoskeletal Infection: Update on Biofilms

Nana

Nelson

McLaren

et al. 2016

The Journal of Bone and Joint Surgery

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Hand infections

Henry¹

2018

Current Orthopaedic Practice

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The integument provides only a limited barrier to protect the multiple functional structures of the hand from infection by common bacteria and other rare organisms. If infection is limited to just skin cellulitis, then antibiotics and careful monitoring may be all that is needed. Once bacteria become trapped in a deeper soft-tissue space and form an abscess then debridement must be performed to evacuate the purulence and necrotic tissue. Specialized compartments in the hand such as the pulp space, nail folds, joint cavities, and tendon sheaths facilitate bacterial containment and abscess formation, rendering immune response less effective. Osteomyelitis can originate from direct penetration or spread from an adjacent soft-tissue infection. Orthopaedic devices foster the development of a biofilm that can harbor bacteria, making resolution more difficult. The surgeon should obtain tissue for laboratory analysis at the deep infection site and subsequently administer empiric antibiotics while awaiting culture results. Greater duration of antibiotics is needed for infections of synovial tissues and bone. Unique infections caused by rare organisms may affect the hand, requiring recognition based on specific clinical features and confirmation by specialized laboratory testing.

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Phaeoacremonium Tenosynovitis of the Wrist

Cited by 4 publications

References 10 publications

The type isolate of a rare Phaeoacremonium species as a cause of human eumycetoma

The type isolate of a rare Phaeoacremonium species as a cause of human eumycetoma

What’s New in Musculoskeletal Infection: Update on Biofilms

Hand infections

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