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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Format: | Article |
Language: | English |
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Sociedade Brasileira de Ortopedia e Traumatologia
2016-04-01
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Series: | Revista Brasileira de Ortopedia |
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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. |
first_indexed | 2024-03-08T07:30:19Z |
format | Article |
id | doaj.art-9f1f5ee21e8f4c91b3ee1f074d0ee3cb |
institution | Directory Open Access Journal |
issn | 1982-4378 |
language | English |
last_indexed | 2024-03-08T07:30:19Z |
publishDate | 2016-04-01 |
publisher | Sociedade Brasileira de Ortopedia e Traumatologia |
record_format | Article |
series | Revista Brasileira de Ortopedia |
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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