Ditsios Konstantinos, Katsimentzas Triantafyllos, Pitsilos Charalampos, Koukourikos Ilias, Christidis Panagiotis, Ditsios Tryfon, Konstantinou Panagiotis, Varitimidis Sokrates
2nd Academic Department of Orthopaedic Surgery School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, General Hospital of Thessaloniki "G. Gennimatas", Greece.
Department of Orthopaedic Surgery General Hospital of Katerini, Katerini, Greece.
Orthop Rev (Pavia). 2024 Mar 9;16:94570. doi: 10.52965/001c.94570. eCollection 2024.
Deep fungal infections are rare in the upper extremity. Vessel and nerve infection, synovitis, tenosynovitis, myofasciitis, arthritis and osteomyelitis have been discovered in literature. Treatment in most cases includes surgical procedure and antifungal agent use. Amputation is the final, most devastating for patient's functionality, solution. Intravenous antifungal drugs, frequently followed by oral administration, are important ancillary agents both for the initial treatment and the prevention of recurrence. We therefore performed a review of the current literature, in order to assemble the dispersed results of different studies and clarify the various aspects of upper extremity fungal infections.
深部真菌感染在上肢较为罕见。文献中已发现血管和神经感染、滑膜炎、腱鞘炎、肌筋膜炎、关节炎和骨髓炎。大多数情况下的治疗包括外科手术和使用抗真菌药物。截肢是最后的解决方案，对患者功能的损害最大。静脉注射抗真菌药物，随后常口服给药，是初始治疗和预防复发的重要辅助药物。因此，我们对当前文献进行了综述，以便汇总不同研究的分散结果，阐明上肢真菌感染的各个方面。
