Systemic Sporotrichosis Polytenosynovitis With Median and Ulnar Nerve Entrapment

Abstract

SPOROTRICHOSIS is a granulomatous fungal infection, usually confined to cutaneous and subcutaneous tissue. The extracutaneous manifestations, either unifocal or multifocal, are rare. Of 3,300 cases of cutaneous sporotrichosis reported by Lurie,¹only five showed lesions involving muscles, bones, and viscera. Crout et al²described the clinical features of seven cases of sporotrichosis arthritis diagnosed from 1954 to 1975, indicating the rarity of the disease. We report a case of extracutaneous sporotrichosis polytenosynovitis without arthritis, involving the tendons of the tibialis anterior at both ankles, of the left flexor carpi ulnaris, and of the fourth and fifth digitorum profundus, producing median and ulnar nerve entrapment. <h3>Report of a Case</h3> A 37-year-old man, a long-term alcoholic, was seen in Harper Hospital, Detroit, in December 1977 with a three-year history of pain and swelling of the volar aspect of the left distal forearm, wrist, and left fourth and fifth fingers and