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.
Level of Clinical Evidence
Keywords
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References
- Fungal foot infections in patients with diabetes mellitus—results of two independent investigations.Mycoses. 2007; 50: 14-19
- A case report of Blastomyces tenosynovitis, with a literature review on fungal tenosynovitis.Joint Bone Spine. 2001; 68: 350-353
- Blastomycosis.Infect Dis Clin North Am. 2003; 17: 21-40
- Cutaneous blastomycosis: a clue to a systemic disease.An Bras Dermatol. 2013; 88: 287-289
- Advances in the serodiagnosis of blastomycosis.Curr Fungal Infect Rep. 2008; 2: 227-231
- Tenosynovitis of the flexor hallucis longus: a clinical study of the spectrum of presentation and treatment.Foot Ankle Int. 2005; 26: 291-303
- Stenosing tenosynovitis of the flexor hallucis longus tendon at the sesamoid area.Foot Ankle Int. 2002; 23: 801-803
- Tenosynovitis of the flexor foot tendons secondary to pes cavus: value of sonography.Rheumatol Int. 2012; 32: 561-562
- Infectious tenosynovitis of the foot extensors.Reumatol Clin. 2014; 10: 56-57
- Mycobacterial and fungal infections of bone and joints.Curr Opin Rheumatol. 1995; 7: 329-336
- Soft tissue infections.Rheum Dis Clin North Am. 2009; 35: 45-62
- Risk factors for acquisition of endemic blastomycosis.Can J Infect Dis Med Microbiol. 2009; 20: 117-121
- Impairment of immune systems in diabetes.Adv Exp Med Biol. 2012; 771: 62-75
- Pain in the posterior aspect of the ankle in dancers: differential diagnosis and operative treatment.J Bone Joint Surg Am. 1996; 78: 1491-1500
- Tuberculosis of bones and joints.Proc Staff Meet Mayo Clin. 1953; 28: 370-375
- Epidemiologic and ecologic features of blastomycosis: a review.Curr Fungal Infect Rep. 2012; 6: 327-335
- Imaging evaluation of tendon sheath disease: self-assessment module.AJR Am J Roentgenol. 2007; 188: S10-S12
- Rice-body formation in atypical mycobacterial tenosynovitis and bursitis: findings on sonography and MR imaging.AJR Am J Roentgenol. 2003; 180: 1455-1459
- Endemic mycoses: blastomycosis, histoplasmosis, and sporotrichosis.Infect Dis Clin North Am. 2006; 20: 645-662
Article info
Publication history
Published online: July 25, 2015
Footnotes
Financial Disclosure: None reported.
Conflict of Interest: None reported.
Identification
Copyright
© 2015 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.
