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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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
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author Riaz, Talha
Collins, Mark
Enzler, Mark
Rizzo, Marco
Schuetz, Audrey N.
Lehman, Julia S.
Osmon, Douglas
Sia, Irene G.
author_facet Riaz, Talha
Collins, Mark
Enzler, Mark
Rizzo, Marco
Schuetz, Audrey N.
Lehman, Julia S.
Osmon, Douglas
Sia, Irene G.
author_sort Riaz, Talha
collection PubMed
description 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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spelling pubmed-84858402021-10-04 Left hand extensor tenosynovitis due to Histoplasma capsulatum complicated by immune reconstitution inflammatory syndrome Riaz, Talha Collins, Mark Enzler, Mark Rizzo, Marco Schuetz, Audrey N. Lehman, Julia S. Osmon, Douglas Sia, Irene G. J Bone Jt Infect Case Report 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. Copernicus GmbH 2021-09-23 /pmc/articles/PMC8485840/ /pubmed/34611507 http://dx.doi.org/10.5194/jbji-6-355-2021 Text en Copyright: © 2021 Talha Riaz et al. https://creativecommons.org/licenses/by/4.0/This work is licensed under the Creative Commons Attribution 4.0 International License. To view a copy of this licence, visit https://creativecommons.org/licenses/by/4.0/
spellingShingle Case Report
Riaz, Talha
Collins, Mark
Enzler, Mark
Rizzo, Marco
Schuetz, Audrey N.
Lehman, Julia S.
Osmon, Douglas
Sia, Irene G.
Left hand extensor tenosynovitis due to Histoplasma capsulatum complicated by immune reconstitution inflammatory syndrome
title Left hand extensor tenosynovitis due to Histoplasma capsulatum complicated by immune reconstitution inflammatory syndrome
title_full Left hand extensor tenosynovitis due to Histoplasma capsulatum complicated by immune reconstitution inflammatory syndrome
title_fullStr Left hand extensor tenosynovitis due to Histoplasma capsulatum complicated by immune reconstitution inflammatory syndrome
title_full_unstemmed Left hand extensor tenosynovitis due to Histoplasma capsulatum complicated by immune reconstitution inflammatory syndrome
title_short Left hand extensor tenosynovitis due to Histoplasma capsulatum complicated by immune reconstitution inflammatory syndrome
title_sort left hand extensor tenosynovitis due to histoplasma capsulatum complicated by immune reconstitution inflammatory syndrome
topic Case Report
url 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
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