Thorn-induced Alternaria flexor tenosynovitis of the hand.
A thorn puncture to the hand is a common, usually minor childhood injury. A 6-year-old boy developed Alternaria tenosynovitis as a complication of thorn penetration into the digital flexor tendon sheath. He was successfully treated with tenosynovectomy and a prolonged course of itraconazole.
Brady
R C
RC
Department of Pediatrics University of Cincinnati College of Medicine Cincinnati, OH, USA. bradr0@chmcc.org
Sommerkamp
T G
TG
D000528:Alternaria / Q000187:drug effects / Q000302:isolation & purification / Q000472:pathogenicity*; D000935:Antifungal Agents / Q000494:pharmacology / Q000627:therapeutic use; D002648:Child; D002908:Chronic Disease; D003937:Diagnosis, Differential; D005383:Finger Injuries / Q000150:complications*; D006801:Humans; D017964:Itraconazole / Q000494:pharmacology / Q000627:therapeutic use; D008297:Male; D013583:Synovial Membrane / Q000382:microbiology; D013717:Tenosynovitis / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D014950:Wounds, Penetrating / Q000150:complications*
D000935:Antifungal Agents; D017964:Itraconazole