Kumar K S Sunil, Narasimhan Ajay, Gopalakrishnan Ram, Geetha N, Thirunarayanan M A, Suryanarayanan P
Department of Pathology, Apollo Hospitals, Chennai.
J Assoc Physicians India. 2011 Feb;59:122-4.
Coccidioidomycosis is a deep mycosis caused by the fungus Coccidioides immitis. Disseminated disease can affect any part of the body. Coccidioidal synovitis is a rare manifestation of musculoskeletal coccidioidomycosis requiring aggressive treatment. We report a case of a 68 year old man who presented to our centre in Chennai with pain and restriction of movement of the elbow of 4 months duration. After being investigated, he was subjected to a synovectomy following which he was diagnosed to have coccidioidal synovitis of the elbow joint by histology and culture. He was treated with itraconazole. He was doing well on the most recent follow up. The case is presented for its rarity in India.
球孢子菌病是一种由粗球孢子菌引起的深部真菌病。播散性疾病可累及身体的任何部位。球孢子菌性滑膜炎是肌肉骨骼球孢子菌病的一种罕见表现，需要积极治疗。我们报告一例68岁男性患者，因肘部疼痛和活动受限4个月前来我们位于金奈的中心就诊。经过检查后，他接受了滑膜切除术，术后经组织学和培养诊断为肘关节球孢子菌性滑膜炎。他接受了伊曲康唑治疗。在最近的随访中，他情况良好。该病例因其在印度的罕见性而被报道。
