Allescheria boydii osteomyelitis following multiple steroid injections and surgery. 1977

A A Halpern, and D A Nagel, and D J Schurman

This is a report of a 46-year-old male who developed an Allescheria boydii infection secondary to excision of an interdigital neuroma. Previously reported cases of infection occurred in an immunosuppressed patient and in patients on systemic corticosteroid therapy, but not associated with a surgical wound. This patient received multiple local corticosteroid injections which may have produced local as well as systemic immunosuppression. Fungal cultures were not taken for many months and thus the true etiology of the infection was not discovered until late. The importance of obtaining fungal cultures particularly in patients receiving corticosteroid therapy, either local infiltration or systemic, cannot be overemphasized.

UI MeSH Term Description Entries
D008271 Mycetoma A chronic progressive subcutaneous infection caused by species of fungi (eumycetoma), or actinomycetes (actinomycetoma). It is characterized by tumefaction, abscesses, and tumor-like granules representing microcolonies of pathogens, such as MADURELLA fungi and bacteria ACTINOMYCETES, with different grain colors. Madura Foot,Maduromycosis,Actinomycetoma,Eumycetoma
D008297 Male Males
D008825 Miconazole An imidazole antifungal agent that is used topically and by intravenous infusion. Brentan,Dactarin,Miconasil Nitrate,Miconazole Nitrate,Monistat,R-14,889,Nitrate, Miconasil,Nitrate, Miconazole,R 14,889,R14,889
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009463 Neuroma A tumor made up of nerve cells and nerve fibers. (Dorland, 27th ed) Neuromas
D010019 Osteomyelitis INFLAMMATION of the bone as a result of infection. It may be caused by a variety of infectious agents, especially pyogenic (PUS - producing) BACTERIA. Osteomyelitides
D003348 Cortisone A naturally occurring glucocorticoid that has been used in replacement therapy for ADRENAL INSUFFICIENCY and as an anti-inflammatory agent. Cortisone itself is inactive; it is converted in the liver to the active metabolite HYDROCORTISONE. (From Martindale, The Extra Pharmacopoeia, 30th ed, p726) 17-Hydroxy-3,11,20-trioxopregn-4-en-21-yl acetate,Adreson,Cortisone Acetate,Cortone Acetate
D005534 Foot Diseases Anatomical and functional disorders affecting the foot. Foot Disease
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013530 Surgical Wound Infection Infection occurring at the site of a surgical incision. Postoperative Wound Infection,Infection, Postoperative Wound,Infection, Surgical Wound,Surgical Site Infection,Wound Infection, Postoperative,Wound Infection, Surgical,Infection, Surgical Site,Infections, Postoperative Wound,Infections, Surgical Site,Infections, Surgical Wound,Postoperative Wound Infections,Surgical Site Infections,Surgical Wound Infections,Wound Infections, Postoperative,Wound Infections, Surgical

Related Publications

A A Halpern, and D A Nagel, and D J Schurman
January 1979, Clinical orthopaedics and related research,
A A Halpern, and D A Nagel, and D J Schurman
June 1978, JAMA,
A A Halpern, and D A Nagel, and D J Schurman
January 1996, Retina (Philadelphia, Pa.),
A A Halpern, and D A Nagel, and D J Schurman
April 1978, The Johns Hopkins medical journal,
A A Halpern, and D A Nagel, and D J Schurman
June 1971, American journal of ophthalmology,
A A Halpern, and D A Nagel, and D J Schurman
December 1976, American journal of clinical pathology,
A A Halpern, and D A Nagel, and D J Schurman
April 1968, JAMA,
A A Halpern, and D A Nagel, and D J Schurman
February 1957, Journal of bacteriology,
A A Halpern, and D A Nagel, and D J Schurman
October 1970, Journal of the American Veterinary Medical Association,
A A Halpern, and D A Nagel, and D J Schurman
November 1973, Infection and immunity,
Copied contents to your clipboard!