Cutaneous Histoplasmosis in a Renal Transplant Patient Presenting With Hand and Forearm Necrotizing Myofasciitis

Steven D Kozusko; Charles A Riccio; Garrett M Minor; Petros Konofaos

doi:10.1016/j.jhsa.2019.04.003

Cutaneous Histoplasmosis in a Renal Transplant Patient Presenting With Hand and Forearm Necrotizing Myofasciitis

J Hand Surg Am. 2020 Mar;45(3):260.e1-260.e5. doi: 10.1016/j.jhsa.2019.04.003. Epub 2019 May 22.

Authors

Steven D Kozusko¹, Charles A Riccio², Garrett M Minor³, Petros Konofaos²

Affiliations

¹ Department of Plastic Surgery. Electronic address: [email protected].
² Department of Plastic Surgery.
³ College of Medicine, University of Tennessee Health Science Center, Memphis, TN.

PMID: 31126815
DOI: 10.1016/j.jhsa.2019.04.003

Abstract

Histoplasmosis rarely manifests as a primary infection of the extremities, but when it does, the damage inflicted can be severe. We present a case report of cutaneous histoplasmosis of the upper extremity due to direct inoculation in a renal transplant patient, presenting as myofasciitis. The patient initially had a salvaged upper extremity that was functional, but a persistent infection recurred with aggressive myofasciitis requiring a subsequent amputation.

Keywords: Forearm; Histoplasmosis capsulatum; hand; histoplasmosis; upper extremity.

Publication types

Case Reports

MeSH terms

Dermatomycoses* / diagnosis
Dermatomycoses* / drug therapy
Forearm
Histoplasma
Histoplasmosis* / diagnosis
Histoplasmosis* / drug therapy
Humans
Kidney Transplantation* / adverse effects