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Case Reports
. 2018 Feb;45(2):284-285.
doi: 10.3899/jrheum.170505.

Histoplasma Tenosynovitis Revealed by Fungal Culture in a Patient Treated with Infliximab

Robert J Woods  1 , Emmanuel J Reyes  2 , Jason S Knight  3
Affiliations
Case Reports

Histoplasma Tenosynovitis Revealed by Fungal Culture in a Patient Treated with Infliximab

Robert J Woods et al. J Rheumatol. 2018 Feb.
No abstract available

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Conflict of interest statement

Conflicts of interest: The authors have no conflicts of interest to disclose.

Figures

Figure 1
Figure 1
A, Short axis ultrasound of the wrist at the level of the carpal tunnel. Top: gray-scale image of the flexor compartment demonstrates extensive hypoechoic soft tissue (asterisk) surrounding the flexor tendons and thickened median nerve (arrowhead). Bottom: the described hypoechoic soft tissue is markedly hyperemic on color Doppler images, including hyperemic soft tissue surrounding the median nerve (arrowhead). Findings are consistent with extensive flexor tenosynovitis. The extensor compartment of the wrist was unremarkable. B, Incubation at 30°C produced mycelial phase Histoplasma capsulatum with hyphal elements (black arrowhead) and macroconidia 8-15 microns in diameter with characteristic circumferential projections (red arrowheads). Verification was by Accuprobe Histoplasma capsulatum culture identification test (Hologic, Inc. San Diego, CA).
See this image and copyright information in PMC

References

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