title: Prototheca wickerhamii tenosynovitis.
abstract: Prototheca wickerhamii is an algae-like organism rarely implicated in skin or soft tissue infections. We describe the first case (to our knowledge) of Prototheca tenosynovitis which followed median nerve release for carpal tunnel syndrome. Clinical presentation, operative findings, histopathology, microbiology and treatment of this unusual infection are discussed.
authors.affiliation: Department of Rheumatology, Geisinger Medical Center, Danville, PA.
authors.forename: R A
authors.initials: RA
authors.lastname: Moyer
authors.forename: D C
authors.initials: DC
authors.lastname: Bush
authors.forename: J J
authors.initials: JJ
authors.lastname: Dennehy
mesh_terms: D000666:Amphotericin B / Q000627:therapeutic use; D002349:Carpal Tunnel Syndrome / Q000601:surgery; D004322:Drainage; D005260:Female; D006801:Humans; D007654:Ketoconazole / Q000627:therapeutic use; D008875:Middle Aged; D011525:Prototheca; D012086:Reoperation; D013530:Surgical Wound Infection; D000074402:Synovectomy; D013583:Synovial Membrane / Q000473:pathology; D013717:Tenosynovitis / Q000209:etiology* / Q000601:surgery
chemical_list: D000666:Amphotericin B; D007654:Ketoconazole