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 |
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container_end_page | 393.e3 |
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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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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. 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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.</description><subject>Aged</subject><subject>Bursitis</subject><subject>extensor tendon</subject><subject>fungal infection</subject><subject>Humans</subject><subject>Male</subject><subject>Orthopedics</subject><subject>Phaeoacremonium parasiticum</subject><subject>Phialophora - isolation & purification</subject><subject>synovectomy</subject><subject>Tenosynovitis - diagnosis</subject><subject>Tenosynovitis - microbiology</subject><subject>Tenosynovitis - surgery</subject><subject>Wrist</subject><issn>0363-5023</issn><issn>1531-6564</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUFL5DAYhoMoOqv-AQ8yRxFa8yVpmgFZENFdQVBQ8RjS9CuTbtto0grz700Zdw978JQcnvcleV5CToDmQEFetHm7jiZn6Z4D5JTBDllAwSGThRS7ZEG55FlBGT8gP2JsKU0kL_bJAVOUlUrwBTl_XBv0xgbs_eCmfvmMg4-bwX-40cWlb5bjGpevwcXxiOw1pot4_HUekpfbm-fr39n9w6-766v7zHImxwyMUNhQ4NhUijVQSyPBpJcUtqRK1FVZrQTWhSlLxaUoRCVUQ-lKoYVKguWH5Gzb-xb8-4Rx1L2LFrvODOinqEEVvBSS8VVC2Ra1wccYsNFvwfUmbDRQPTvSrZ4d6dmRBtDJUQqdfvVPVY_1v8hfKQm43AKYfvnhMOhoHQ4WaxfQjrr27vv-n__FbecGZ033BzcYWz-FIfnToCPTVD_NK80jpW0gLcT4J7Wmiys</recordid><startdate>20170501</startdate><enddate>20170501</enddate><creator>Aizawa, Tetsushi, MD</creator><creator>Domoto, Takashi, MD</creator><creator>Aoki, Shimpo, MD, PhD</creator><creator>Azuma, Ryuichi, MD, PhD</creator><creator>Kiyosawa, Tomoharu, MD, PhD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20170501</creationdate><title>Phaeoacremonium Tenosynovitis of the Wrist</title><author>Aizawa, Tetsushi, MD ; Domoto, Takashi, MD ; Aoki, Shimpo, MD, PhD ; Azuma, Ryuichi, MD, PhD ; Kiyosawa, Tomoharu, MD, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c326t-1a48ef013efb82f1d6a61a3635c7084db7b94ed5a77836454b48f0098ec1b61c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Aged</topic><topic>Bursitis</topic><topic>extensor tendon</topic><topic>fungal infection</topic><topic>Humans</topic><topic>Male</topic><topic>Orthopedics</topic><topic>Phaeoacremonium parasiticum</topic><topic>Phialophora - isolation & purification</topic><topic>synovectomy</topic><topic>Tenosynovitis - diagnosis</topic><topic>Tenosynovitis - microbiology</topic><topic>Tenosynovitis - surgery</topic><topic>Wrist</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Aizawa, Tetsushi, MD</creatorcontrib><creatorcontrib>Domoto, Takashi, MD</creatorcontrib><creatorcontrib>Aoki, Shimpo, MD, PhD</creatorcontrib><creatorcontrib>Azuma, Ryuichi, MD, PhD</creatorcontrib><creatorcontrib>Kiyosawa, Tomoharu, MD, PhD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of hand surgery (American ed.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Aizawa, Tetsushi, MD</au><au>Domoto, Takashi, MD</au><au>Aoki, Shimpo, MD, PhD</au><au>Azuma, Ryuichi, MD, PhD</au><au>Kiyosawa, Tomoharu, MD, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Phaeoacremonium Tenosynovitis of the Wrist</atitle><jtitle>The Journal of hand surgery (American ed.)</jtitle><addtitle>J Hand Surg Am</addtitle><date>2017-05-01</date><risdate>2017</risdate><volume>42</volume><issue>5</issue><spage>393.e1</spage><epage>393.e3</epage><pages>393.e1-393.e3</pages><issn>0363-5023</issn><eissn>1531-6564</eissn><abstract>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.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>28027843</pmid><doi>10.1016/j.jhsa.2016.11.021</doi></addata></record> |
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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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