Left hand extensor tenosynovitis due to Histoplasma capsulatum complicated by immune reconstitution inflammatory syndrome

We describe a case of left hand extensor tenosynovitis due to histoplasmosis in a patient with dermatomyositis on chronic immunosuppression. Treatment involved surgical debridement and antifungal therapy. The patient experienced paradoxical worsening of tenosynovial inflammation during de-augmentati...

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Detalles Bibliográficos
Autores principales: Riaz, Talha, Collins, Mark, Enzler, Mark, Rizzo, Marco, Schuetz, Audrey N., Lehman, Julia S., Osmon, Douglas, Sia, Irene G.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Copernicus GmbH 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8485840/
https://www.ncbi.nlm.nih.gov/pubmed/34611507
http://dx.doi.org/10.5194/jbji-6-355-2021
Descripción
Sumario:We describe a case of left hand extensor tenosynovitis due to histoplasmosis in a patient with dermatomyositis on chronic immunosuppression. Treatment involved surgical debridement and antifungal therapy. The patient experienced paradoxical worsening of tenosynovial inflammation during de-augmentation of immunosuppression felt to be immune reconstitution inflammatory syndrome.

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