title: Blastomyces Tenosynovitis of the Foot and Ankle: A Case Report and Review of the Literature.
abstract: Deep fungal infection localized to the foot is not common, and when it occurs it often affects immunocompromised individuals. In this report, we describe the case of an adult diabetic patient who suffered with with Blastomycosis infection of the flexor digitorum longus and peroneal tendon sheaths. The condition was treated with systemic antifungal therapy and surgical debridement.
authors.affiliation: Orthopaedist, Department of Orthopaedic Surgery, Duke University Medical Center, Durham, NC. Electronic address: afederer34@gmail.com.
authors.forename: Andrew E
authors.initials: AE
authors.lastname: Federer
authors.affiliation: Orthopaedist, Department of Orthopaedic Surgery, Rush University Medical Center, Rush Medical College, Rush University, Chicago, IL.
authors.forename: Bryan D
authors.initials: BD
authors.lastname: Haughom
authors.affiliation: Orthopaedist, Department of Orthopaedic Surgery, Rush University Medical Center, Rush Medical College, Rush University, Chicago, IL.
authors.forename: David M
authors.initials: DM
authors.lastname: Levy
authors.affiliation: Orthopaedist, Department of Orthopaedic Surgery, Rush University Medical Center, Rush Medical College, Rush University, Chicago, IL.
authors.forename: Andrew J
authors.initials: AJ
authors.lastname: Riff
authors.affiliation: Assistant Professor, Department of Orthopaedic Surgery, Rush University Medical Center, Rush Medical College, Rush University, Chicago, IL.
authors.forename: Shane J
authors.initials: SJ
authors.lastname: Nho
mesh_terms: D000038:Abscess / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery; D000842:Ankle; D000843:Ankle Joint / Q000382:microbiology / Q000601:surgery; D000935:Antifungal Agents / Q000627:therapeutic use*; D001758:Blastomyces; D001759:Blastomycosis / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery*; D001850:Bone Diseases, Infectious / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery*; D003646:Debridement; D003922:Diabetes Mellitus, Type 1 / Q000150:complications; D005528:Foot; D006801:Humans; D013717:Tenosynovitis / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery*; D007507:Therapeutic Irrigation
chemical_list: D000935:Antifungal Agents
keywords: ankle; diabetes mellitus; flexor digitorum longus; fungal infection; peroneal tendon