Granulomatous tenosynovitis and carpal tunnel syndrome caused by Sporothrix schenckii.

Journal Article

Although the usual form of sporotrichosis is a lymphocutaneous lesion, Sporothrix schenckii can cause articular disease that is difficult to diagnose. We describe two patients with sporotrichosis who presented with tenosynovitis and the carpal tunnel syndrome. A tissue specimen is required for a precise diagnosis; granulomatous tenosynovitis suggests an infectious cause. Unless appropriate cultures for bacteria, mycobacteria and fungi are obtained, the diagnosis may be missed or delayed. Mouse inoculations may be required to isolate S. schenckii from tissue, which rarely shows the delicate fungus in histologic sections. Our patients were cured by a combination of synovectomy and the intravenous administration of amphotericin B. Sporotrichosis should be considered in the differential diagnosis of the carpal tunnel syndrome, particularly when surgical exploration discloses a granulomatous tenosynovitis.

Full Text

Duke Authors

Cited Authors

  • Stratton, CW; Lichtenstein, KA; Lowenstein, SR; Phelps, DB; Reller, LB

Published Date

  • July 1, 1981

Published In

Volume / Issue

  • 71 / 1

Start / End Page

  • 161 - 164

PubMed ID

  • 7246574

International Standard Serial Number (ISSN)

  • 0002-9343

Language

  • eng

Conference Location

  • United States