Phaeoacremonium Tenosynovitis of the Wrist

A 79-year-old man presented with a painless, soft, subcutaneous mass lesion of the right volar wrist that had been slowly growing for 3 years. A cloudy, yellow serous effusion was aspirated from the punctured mass, from which Phaeoacremonium spp., an extremely rare cause of tenosynovitis, was isolat...

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Veröffentlicht in:The Journal of hand surgery (American ed.) 2017-05, Vol.42 (5), p.393.e1-393.e3
Hauptverfasser: Aizawa, Tetsushi, MD, Domoto, Takashi, MD, Aoki, Shimpo, MD, PhD, Azuma, Ryuichi, MD, PhD, Kiyosawa, Tomoharu, MD, PhD
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container_end_page 393.e3
container_issue 5
container_start_page 393.e1
container_title The Journal of hand surgery (American ed.)
container_volume 42
creator Aizawa, Tetsushi, MD
Domoto, Takashi, MD
Aoki, Shimpo, MD, PhD
Azuma, Ryuichi, MD, PhD
Kiyosawa, Tomoharu, MD, PhD
description A 79-year-old man presented with a painless, soft, subcutaneous mass lesion of the right volar wrist that had been slowly growing for 3 years. A cloudy, yellow serous effusion was aspirated from the punctured mass, from which Phaeoacremonium spp., an extremely rare cause of tenosynovitis, was isolated in culture. Total synovectomy was performed without the use of antifungal agents. No recurrence or complications occurred as of 6 months after surgery. Fungal infection is rare but should be considered in the differentiation of chronic tenosynovitis.
doi_str_mv 10.1016/j.jhsa.2016.11.021
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subjects Aged
Bursitis
extensor tendon
fungal infection
Humans
Male
Orthopedics
Phaeoacremonium parasiticum
Phialophora - isolation & purification
synovectomy
Tenosynovitis - diagnosis
Tenosynovitis - microbiology
Tenosynovitis - surgery
Wrist
title Phaeoacremonium Tenosynovitis of the Wrist
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