A case of synovial sporotrichosis involving both wrists in a 46-year-old unemployed carpenter is described. Clinical, laboratory diagnostic and therapeutic aspects are discussed.
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Fungal Musculoskeletal Infections: Comprehensive Approach to Proper Diagnosis.
Radiographics
July 2024
From the Department of Diagnostic Imaging, Escola Paulista de Medicina, Universidade Federal de São Paulo, Napoleão de Barros Street, 800 Vila Clementino, São Paulo, SP, Brazil 04024-002 (M.C.A., J.B.P., V.N.S., L.K.M., D.T.K., A.d.A.e.C., A.R.C.F., A.Y.A.); Department of Radiology, Hospital das Clínicas da Faculdade de Medicina de Marília, Marília, São Paulo, Brazil (M.C.A.); Department of Radiology, Montefiore Medical Center, The University Hospital for Albert Einstein College of Medicine, Bronx, NY (J.T.B.); Department of Diagnostic Imaging, Laboratório Delboni, DASA, São Paulo, Brazil (J.B.P., V.N.S., L.K.M., D.T.K., A.Y.A.); Department of Radiology, Hospital do Coração, HCor and Teleimagem, São Paulo, Brazil (V.N.S.); Department of Infectious Diseases, Universidade Federal de São Paulo, São Paulo, Brazil (A.M.D.); Hospital Israelita Albert Einstein, São Paulo, Brazil (A.d.A.e.C.); and Department of Radiology, Grupo de Radiologia e Diagnóstico por Imagem-Rede D'Or, São Paulo, Brazil (A.R.C.F.).
Article Synopsis
- Fungal musculoskeletal infections can be challenging to identify due to their subtle symptoms and rarity, often overlapping with other diseases.
- These infections spread through blood, direct contact, or nearby tissue extension, with risk factors including weakened immune systems and exposure at work, and can either be isolated or part of broader systemic issues.
- Imaging plays a key role in diagnosis, revealing nonspecific signs like bone destruction and joint changes, but may also provide clues when combined with patient history and geographical context.
Sporotrichal Tenosynovitis Diagnosed Helpfully by Musculoskeletal Ultrasonography.
Intern Med
October 2017
Department of Clinical Research, Osaka Minami Medical Center, Japan.
A 72-year-old man presented with persistent oligoarthritis and positive results for rheumatoid factor and was suspected of having rheumatoid arthritis (RA). However, the musculoskeletal ultrasonography (MSUS) findings were not consistent with those of typical RA. He had undergone surgery for carpal tunnel syndrome, which allowed both histopathological and microbiological examinations to be performed.
View Article and Find Full Text PDFInfectious arthritis as the single manifestation of sporotrichosis: serology from serum and synovial fluid samples as an aid to diagnosis.
Rev Iberoam Micol
March 2008
Serviço de Dermatologia, Laboratório de Micologia, Hospital Universitário Pedro Ernesto, UERJ, Rio de Janeiro, Brazil.
Sporotrichosis is a generally cutaneous, granulomatous, chronic and benign infection. Less frequently the disease may affect the joints. Articular involvement is usually characterized by monoarthritis in the absence of systemic symptoms, generally preceded by skin lesions, and frequently affects immunosuppressed individuals.
View Article and Find Full Text PDFSporothrix schenckii infection presented as monoarthritis: report of two cases and review of the literature.
Clin Rheumatol
November 2006
Department of Rheumatology, Faculty of Medical Sciences, State University of Campinas (UNICAMP), P.O. Box 6111, 13083-970, Campinas, SP, Brazil.
Septic arthritis demands early diagnosis and correct treatment if the function of the joint is to be restored. Sometimes, as in fungal infection, signs and symptoms may be mild and the diagnosis delayed. Nevertheless, the outcome of fungal arthritis is severe and usually causes joint disability.
View Article and Find Full Text PDFBursal sporotrichosis: case report and review.
Clin Infect Dis
August 2000
Divisions of Infectious Diseases and Orthopedic Surgery, University of California, San Diego, CA, 92161, USA.
We describe a patient whose prepatellar bursa was infected with Sporothrix schenckii. The infection persisted despite itraconazole therapy and cure was achieved only after surgical excision of the bursa. A review of treatments for bursal sporotrichosis is presented.
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