Phaeohyphomycosis infection in the knee

Phaeohyphomycosis is caused by cutaneous fungi and rarely affects large joints. This is a case report on phaeohyphomycosis in the left knee of an elderly individual without immunosuppression. It was accompanied by pain and swelling the anterior knee. The case was first suspected to be suprapatellar...

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Main Authors: David Sadigursky, Luisa Nogueira e Ferreira, Liz Moreno de Oliveira Corrêa
Format: Article
Language:English
Published: Sociedade Brasileira de Ortopedia e Traumatologia 2016-04-01
Series:Revista Brasileira de Ortopedia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162016000200231&lng=en&tlng=en
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author David Sadigursky
Luisa Nogueira e Ferreira
Liz Moreno de Oliveira Corrêa
author_facet David Sadigursky
Luisa Nogueira e Ferreira
Liz Moreno de Oliveira Corrêa
author_sort David Sadigursky
collection DOAJ
description Phaeohyphomycosis is caused by cutaneous fungi and rarely affects large joints. This is a case report on phaeohyphomycosis in the left knee of an elderly individual without immunosuppression. It was accompanied by pain and swelling the anterior knee. The case was first suspected to be suprapatellar bursitis, and was treated with nonsteroidal anti-inflammatory drugs, without remission of symptoms. Surgical treatment was performed, with resection of the suprapatellar bursa and anterior region of the quadriceps tendon. The material was sent for anatomopathological examination and culturing. The pathological examination showed phaeohyphomycosis. The treatment instituted consisted of itraconazole, 200 mg/day for six weeks, and complete remission of symptoms was achieved. The physical examination remained normal after one year of follow-up. This is the first published case of phaeohyphomycosis infection in the suprapatellar region of the knee. Although almost all the cases reported have been associated with immunosuppressed patients, this was an exception. It is important to suspect phaeohyphomycosis in cases of knee infection, in the area of the suprapatellar bursa, when the symptoms do not resolve after clinical treatment.
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spelling doaj.art-9f1f5ee21e8f4c91b3ee1f074d0ee3cb2024-02-02T20:41:52ZengSociedade Brasileira de Ortopedia e TraumatologiaRevista Brasileira de Ortopedia1982-43782016-04-0151223123410.1016/j.rboe.2016.02.004S0102-36162016000200231Phaeohyphomycosis infection in the kneeDavid SadigurskyLuisa Nogueira e FerreiraLiz Moreno de Oliveira CorrêaPhaeohyphomycosis is caused by cutaneous fungi and rarely affects large joints. This is a case report on phaeohyphomycosis in the left knee of an elderly individual without immunosuppression. It was accompanied by pain and swelling the anterior knee. The case was first suspected to be suprapatellar bursitis, and was treated with nonsteroidal anti-inflammatory drugs, without remission of symptoms. Surgical treatment was performed, with resection of the suprapatellar bursa and anterior region of the quadriceps tendon. The material was sent for anatomopathological examination and culturing. The pathological examination showed phaeohyphomycosis. The treatment instituted consisted of itraconazole, 200 mg/day for six weeks, and complete remission of symptoms was achieved. The physical examination remained normal after one year of follow-up. This is the first published case of phaeohyphomycosis infection in the suprapatellar region of the knee. Although almost all the cases reported have been associated with immunosuppressed patients, this was an exception. It is important to suspect phaeohyphomycosis in cases of knee infection, in the area of the suprapatellar bursa, when the symptoms do not resolve after clinical treatment.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162016000200231&lng=en&tlng=enInfecçãoFungosJoelhoDermatomicoses
spellingShingle David Sadigursky
Luisa Nogueira e Ferreira
Liz Moreno de Oliveira Corrêa
Phaeohyphomycosis infection in the knee
Revista Brasileira de Ortopedia
Infecção
Fungos
Joelho
Dermatomicoses
title Phaeohyphomycosis infection in the knee
title_full Phaeohyphomycosis infection in the knee
title_fullStr Phaeohyphomycosis infection in the knee
title_full_unstemmed Phaeohyphomycosis infection in the knee
title_short Phaeohyphomycosis infection in the knee
title_sort phaeohyphomycosis infection in the knee
topic Infecção
Fungos
Joelho
Dermatomicoses
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162016000200231&lng=en&tlng=en
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