ABSTRACT
BACKGROUND: Mucormycosis is a potentially fatal complication of diabetes. The rhino-orbito-cerebral form is the most common presentation, however, rarely other types can also be seen. CASE PRESENTATION: We describe the case of a 4½ -year-old boy not previously known to be a diabetic who presented to the plastic surgery department for gangrene of the left middle finger with surrounding erythema and induration. After the diagnosis of diabetes and initial treatment, pus from the wound showed broad aseptate hyphae suggestive of mucormycosis which was further confirmed on culture. Aggressive surgical debridement including amputation, antifungal treatment and glycemic control achieved a complete cure. CONCLUSIONS: Cutaneous mucormycosis is a rare complication of type 1 diabetes mellitus and can even be seen at the onset of diabetes. High index of suspicion, timely antifungal treatment and aggressive surgical debridement usually lead to recovery in the localized form of the disease.
Subject(s)
Diabetes Mellitus, Type 1/complications , Diabetes Mellitus, Type 1/diagnosis , Mucormycosis/diagnosis , Mucormycosis/etiology , Amputation, Surgical , Antifungal Agents/therapeutic use , Child, Preschool , Debridement , Diabetes Mellitus, Type 1/drug therapy , Diabetes Mellitus, Type 1/surgery , Diagnosis, Differential , Fingers/microbiology , Fingers/pathology , Fingers/surgery , Hand Deformities, Acquired/drug therapy , Hand Deformities, Acquired/microbiology , Hand Deformities, Acquired/pathology , Hand Deformities, Acquired/surgery , Humans , Male , Mucormycosis/drug therapy , Mucormycosis/surgerySubject(s)
Hand Deformities, Acquired/microbiology , Mycobacterium tuberculosis/isolation & purification , Opportunistic Infections/microbiology , Thumb/microbiology , Tuberculosis, Cutaneous/microbiology , Tuberculosis, Miliary/microbiology , Aged , Antitubercular Agents/therapeutic use , Female , Hand Deformities, Acquired/diagnosis , Hand Deformities, Acquired/drug therapy , Hand Deformities, Acquired/immunology , Humans , Immunocompromised Host , Immunosuppressive Agents/adverse effects , Mycobacterium tuberculosis/drug effects , Mycobacterium tuberculosis/immunology , Opportunistic Infections/diagnosis , Opportunistic Infections/drug therapy , Opportunistic Infections/immunology , Thumb/pathology , Treatment Outcome , Tuberculosis, Cutaneous/diagnosis , Tuberculosis, Cutaneous/drug therapy , Tuberculosis, Cutaneous/immunology , Tuberculosis, Miliary/diagnosis , Tuberculosis, Miliary/drug therapy , Tuberculosis, Miliary/immunologySubject(s)
Hand Deformities, Acquired/surgery , Leprosy/complications , Tendon Transfer/methods , Adult , Hand Deformities, Acquired/etiology , Hand Deformities, Acquired/microbiology , Humans , Male , Ulnar Nerve/microbiology , Ulnar Nerve/pathology , Ulnar Neuropathies/microbiology , Ulnar Neuropathies/pathologySubject(s)
Ankle Joint , Bone Cysts/diagnostic imaging , Hand Deformities, Acquired/microbiology , Joint Deformities, Acquired/microbiology , Skin Ulcer/microbiology , Tuberculosis, Osteoarticular/diagnostic imaging , Bone Cysts/microbiology , Child, Preschool , Hand Deformities, Acquired/diagnostic imaging , Humans , Joint Deformities, Acquired/diagnostic imaging , Male , Radiography , Skin Ulcer/pathology , Tuberculosis, Osteoarticular/complicationsABSTRACT
The commonest paralytic deformity in leprosy is the claw deformity of the fingers. Many surgical procedures have been described and are practiced to correct this deformity, but none is free from complications. A modification of the Zancolli lasso operation in which only half of the flexor digitorum superficialis tendon of the middle finger was used as the motor is described and a comparative study of this and the conventional procedure was carried out in 70 hands in 70 patients. The results suggest that the modification is technically simpler, with comparable results to those of the conventional procedure and fewer complications.
Subject(s)
Finger Joint/surgery , Hand Deformities, Acquired/microbiology , Hand Deformities, Acquired/surgery , Leprosy/complications , Tendon Transfer/methods , Adolescent , Adult , Cohort Studies , Female , Finger Joint/pathology , Finger Joint/physiopathology , Hand Deformities, Acquired/physiopathology , Humans , Leprosy/pathology , Leprosy/surgery , Male , Metacarpophalangeal Joint/physiopathology , Metacarpophalangeal Joint/surgery , Middle Aged , Range of Motion, Articular , Recovery of Function , Retrospective Studies , Treatment OutcomeSubject(s)
Bone Diseases/microbiology , Leprosy/complications , Bone Diseases/therapy , Foot Deformities, Acquired/microbiology , Foot Deformities, Acquired/therapy , Hand Deformities, Acquired/microbiology , Hand Deformities, Acquired/therapy , Humans , Peripheral Nervous System Diseases/microbiologyABSTRACT
Mycobacterium marinum is an unusual atypical mycobacterium with low pathogenicity for humans in comparison with Mycobacterium tuberculosis. Among the non-tuberculous mycobacterial pathogens, Mycobacterium marinum is the most common pathogen to cause skin infections. Mycobacterium marinum infection causes chronic cutaneous lesions and in some cases deeper infections such as tenosynovitis, septic arthritis and rarely osteomyelitis. We report the case of a male patient presenting with tenosynovitis of the distal upper extremity secondary to Mycobacterium marinum infection.
Subject(s)
Diagnostic Errors , Mycobacterium Infections, Nontuberculous/diagnosis , Mycobacterium marinum , Tenosynovitis/microbiology , Drainage , Fingers , Hand Deformities, Acquired/microbiology , Humans , Male , Middle Aged , Mycobacterium Infections, Nontuberculous/complications , Mycobacterium Infections, Nontuberculous/therapy , Recurrence , Reoperation , Tenosynovitis/therapy , Therapeutic IrrigationABSTRACT
A young man presented with multiple Subcutaneous nodules over scalp, hand, feet and osteolytic lesions of small bones of hand. Clinically and radiologically he was diagnosed as a case of Giant Cell Tumour. Aspiration cytology and biopsy proved it to be rhinosporidiosis. Epidemiological study revealed that he perhaps contracted this infection as an occupational hazard. This is the third reported case of osteolytic lesions due to rhinosporidiosis. Diagnostic dilemmas of subcutaneous and osteolytic rhinosporidiosis are discussed.
Subject(s)
Bone Diseases/microbiology , Dermatomycoses/diagnosis , Rhinosporidiosis/diagnosis , Adult , Diagnosis, Differential , Foot Dermatoses/microbiology , Giant Cell Tumor of Bone/diagnosis , Hand Deformities, Acquired/microbiology , Hand Dermatoses/microbiology , Humans , Male , Occupational Diseases/diagnosis , Scalp Dermatoses/microbiologySubject(s)
Hand Deformities, Acquired/surgery , Metacarpophalangeal Joint/abnormalities , Mycobacterium Infections, Nontuberculous/complications , Tendons/transplantation , Female , Hand Deformities, Acquired/microbiology , Hand Deformities, Acquired/physiopathology , Hand Strength , Humans , Middle Aged , Range of Motion, ArticularABSTRACT
A symmetrical deforming cutaneous sporotrichosis with verrucous lesions on both hands and of long clinical duration is reported. The difficulties in making an etiological diagnosis are considered.
Subject(s)
Hand Deformities, Acquired/microbiology , Hand Dermatoses/complications , Sporotrichosis/complications , Hand Dermatoses/microbiology , Humans , Male , Middle Aged , Sporotrichosis/drug therapyABSTRACT
On a single poster, drawings explain a surgical technique we performed for some time in the Institut Marchoux on souple clawed fingers in hansenian ulnar palsy. Sketches at first recall anatomy physiopathogeny's principles and hence usual operations yet performed, then the main steps of our method. Its qualities are simplicity, speediness and compatibility with other treatments. In spite of being too recent for a proper view, results are already hopeful.