Skip to main content

Advertisement

SpringerLink
Log in

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

  • Case Reports
  • Published:
HAND

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. 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.

    Article  PubMed  Google Scholar 

  2. 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.

    Article  PubMed  Google Scholar 

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

    Article  Google Scholar 

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

    PubMed  Google Scholar 

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

    Article  Google Scholar 

  6. 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.

    PubMed Central  CAS  PubMed  Google Scholar 

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

    PubMed Central  CAS  PubMed  Google Scholar 

  8. 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.

    Article  PubMed  Google Scholar 

  9. 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.

    Article  CAS  PubMed  Google Scholar 

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

    CAS  PubMed  Google Scholar 

Download references

Conflict of Interest

The authors declare that they have no conflict of interest.

Statement of Human and Animal Rights

All procedures were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008.

Statement of Informed Consent

Informed consent was obtained from the patient.

Author information

Authors and Affiliations

  1. Section of Plastic Surgery, Department of Surgery, University of Michigan Health Systems, Ann Arbor, MI, 48109, USA

    Michael Sorkin, Theodore A. Kung & Kevin C. Chung

Authors
  1. Michael Sorkin
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Theodore A. Kung
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Kevin C. Chung
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Kevin C. Chung.

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Sorkin, M., Kung, T.A. & Chung, K.C. Attritional extensor tendon rupture in a patient with Phialophora verrucosa tenosynovitis: case report. HAND 10, 342–345 (2015). https://doi.org/10.1007/s11552-014-9700-4

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11552-014-9700-4

Keywords

Search

Navigation