Alternaria infection of the skin and joints. A report of two cases involving the hand.
Alternaria is a fungus that is usually saprophytic but occasionally causes skin infections. Involvement of other structures is exceedingly rare. We report two cases in which a joint was also affected. The possible precipitating role of intraarticular glucocorticoid therapy is discussed. Both patients achieved a full recovery after itraconazole therapy, given for 12 and seven months, respectively.
Lespessailles
E
E
Rheumatology Department, Orléans Porte Madeleine Regional Hospital Center, France.
Kerdraon
R
R
Michenet
P
P
Barthez
J P
JP
Mille
C
C
Benhamou
C L
CL
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000528:Alternaria; D000935:Antifungal Agents / Q000008:administration & dosage; D004866:Equipment Contamination; D006801:Humans; D007270:Injections, Intra-Articular; D017964:Itraconazole / Q000008:administration & dosage; D007592:Joint Diseases / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology*; D008297:Male; D009181:Mycoses / Q000150:complications* / Q000188:drug therapy; D012871:Skin Diseases / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology*
D000935:Antifungal Agents; D017964:Itraconazole