The carpal tunnel syndrome caused by Arthrinium phaeospermum infection: first case report and literature review

Bibliographic Details
Title: The carpal tunnel syndrome caused by Arthrinium phaeospermum infection: first case report and literature review
Authors: Miaozhong Li, Yuning Li, Xueyuan Li
Source: BMC Infectious Diseases, Vol 24, Iss 1, Pp 1-7 (2024)
Publisher Information: BMC, 2024.
Publication Year: 2024
Collection: LCC:Infectious and parasitic diseases
Subject Terms: Arthrinium Phaeospermum, Next-generation sequencing, Carpal tunnel syndrome, Infectious, Infectious and parasitic diseases, RC109-216
More Details: Abstract Background The carpal tunnel syndrome (CTS) caused by atypical infection is a therapeutic and diagnostic challenge. Atypical clinical presentations often lead to misdiagnosis and incorrect therapy. Case presentation This article reports a case of deep infection leading to CTS manifestations. A male patient was admitted for numbness and pain of the left hand. Left carpal tunnel release, median nerve decompression with synovial resection were performed. Inflamed synovium and effusion were submitted for bacterial culture and metagenomic next-generation sequencing (mNGS). The etiologic agent was identified as Arthrinium phaeospermum and the patient recovered after surgical debridement and 10 months of therapy. Conclusions Diagnosis of mycotic infection of the hand is challenging as the presentation is similar to other conditions. mNGS is presented as a valuable diagnostic adjunct for uncovering unusual infectious agents.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1471-2334
Relation: https://doaj.org/toc/1471-2334
DOI: 10.1186/s12879-024-10232-3
Access URL: https://doaj.org/article/240e12de30e3498aa46837bc1f4928db
Accession Number: edsdoj.240e12de30e3498aa46837bc1f4928db
Database: Directory of Open Access Journals
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More Details
ISSN:14712334
DOI:10.1186/s12879-024-10232-3
Published in:BMC Infectious Diseases
Language:English