Isolated Sporothrix schenckii Monoarthritis
Sporothrix schenkii sensu lato is a rare cause of arthritis. Its course is indolent with lack of constitutional symptoms resulting in delayed presentation and diagnosis. It is a dimorphic fungus found ubiquitously in sphagnum moss, decaying vegetation, soil, and hay. Inoculation of dirt into the ski...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Infectious Diseases |
| Online Access: | http://dx.doi.org/10.1155/2018/9037657 |
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| author | Aram Barbaryan Wissam El Atrouni Stefania Bailuc Matthew W. Jones Maharshi Bhakta Khaldoun Haj Mahmoud Aibek E. Mirrakhimov |
| author_facet | Aram Barbaryan Wissam El Atrouni Stefania Bailuc Matthew W. Jones Maharshi Bhakta Khaldoun Haj Mahmoud Aibek E. Mirrakhimov |
| author_sort | Aram Barbaryan |
| collection | DOAJ |
| description | Sporothrix schenkii sensu lato is a rare cause of arthritis. Its course is indolent with lack of constitutional symptoms resulting in delayed presentation and diagnosis. It is a dimorphic fungus found ubiquitously in sphagnum moss, decaying vegetation, soil, and hay. Inoculation of dirt into the skin and soft tissues and, in rare instances, inhalation of aerosolized conidia from soil and plants can lead to infection. Subacute and chronic involvement of skin and subcutaneous tissues is the most common manifestation of sporotrichosis in immunocompetent hosts. In patients with underlying risk factors (HIV, alcoholism, diabetes mellitus, organ transplant patients, immunosuppressive medications, steroids, and malignancies), it can often have disseminated visceral, osteoarticular, meningeal, and pulmonary involvement. Sporothrical arthritis most commonly infects knee joint followed by hand and wrist joints. A culture of Sporothrix schenkii sensu lato is the gold standard for the diagnosis of sporotrichosis. Itraconazole is the drug of choice for osteoarticular sporotrichosis. We present a case of sporotrichal arthritis in a patient without skin or lymph node involvement who underwent treatment with itraconazole resulting in resolution of his symptoms. |
| format | Article |
| id | doaj-art-9825f8e04eca459b9a212f39a9239245 |
| institution | Kabale University |
| issn | 2090-6625 2090-6633 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Infectious Diseases |
| spelling | doaj-art-9825f8e04eca459b9a212f39a92392452025-02-03T06:06:36ZengWileyCase Reports in Infectious Diseases2090-66252090-66332018-01-01201810.1155/2018/90376579037657Isolated Sporothrix schenckii MonoarthritisAram Barbaryan0Wissam El Atrouni1Stefania Bailuc2Matthew W. Jones3Maharshi Bhakta4Khaldoun Haj Mahmoud5Aibek E. Mirrakhimov6Department of Internal Medicine, Division of General, Geriatric & Hospital Medicine, University of Kansas Health System, Kansas City, KS, USADivision of Infectious Diseases, Department of Internal Medicine, University of Kansas Health System, Kansas City, KS, USADepartment of Internal Medicine, Division of General, Geriatric & Hospital Medicine, University of Kansas Health System, Kansas City, KS, USADepartment of Internal Medicine, Division of General, Geriatric & Hospital Medicine, University of Kansas Health System, Kansas City, KS, USADepartment of Internal Medicine, Division of General, Geriatric & Hospital Medicine, University of Kansas Health System, Kansas City, KS, USADepartment of Internal Medicine, Division of General, Geriatric & Hospital Medicine, University of Kansas Health System, Kansas City, KS, USADepartment of Medicine, University of Kentucky, Lexington, KY, USASporothrix schenkii sensu lato is a rare cause of arthritis. Its course is indolent with lack of constitutional symptoms resulting in delayed presentation and diagnosis. It is a dimorphic fungus found ubiquitously in sphagnum moss, decaying vegetation, soil, and hay. Inoculation of dirt into the skin and soft tissues and, in rare instances, inhalation of aerosolized conidia from soil and plants can lead to infection. Subacute and chronic involvement of skin and subcutaneous tissues is the most common manifestation of sporotrichosis in immunocompetent hosts. In patients with underlying risk factors (HIV, alcoholism, diabetes mellitus, organ transplant patients, immunosuppressive medications, steroids, and malignancies), it can often have disseminated visceral, osteoarticular, meningeal, and pulmonary involvement. Sporothrical arthritis most commonly infects knee joint followed by hand and wrist joints. A culture of Sporothrix schenkii sensu lato is the gold standard for the diagnosis of sporotrichosis. Itraconazole is the drug of choice for osteoarticular sporotrichosis. We present a case of sporotrichal arthritis in a patient without skin or lymph node involvement who underwent treatment with itraconazole resulting in resolution of his symptoms.http://dx.doi.org/10.1155/2018/9037657 |
| spellingShingle | Aram Barbaryan Wissam El Atrouni Stefania Bailuc Matthew W. Jones Maharshi Bhakta Khaldoun Haj Mahmoud Aibek E. Mirrakhimov Isolated Sporothrix schenckii Monoarthritis Case Reports in Infectious Diseases |
| title | Isolated Sporothrix schenckii Monoarthritis |
| title_full | Isolated Sporothrix schenckii Monoarthritis |
| title_fullStr | Isolated Sporothrix schenckii Monoarthritis |
| title_full_unstemmed | Isolated Sporothrix schenckii Monoarthritis |
| title_short | Isolated Sporothrix schenckii Monoarthritis |
| title_sort | isolated sporothrix schenckii monoarthritis |
| url | http://dx.doi.org/10.1155/2018/9037657 |
| work_keys_str_mv | AT arambarbaryan isolatedsporothrixschenckiimonoarthritis AT wissamelatrouni isolatedsporothrixschenckiimonoarthritis AT stefaniabailuc isolatedsporothrixschenckiimonoarthritis AT matthewwjones isolatedsporothrixschenckiimonoarthritis AT maharshibhakta isolatedsporothrixschenckiimonoarthritis AT khaldounhajmahmoud isolatedsporothrixschenckiimonoarthritis AT aibekemirrakhimov isolatedsporothrixschenckiimonoarthritis |