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Journal of Bone and Joint Surgery, 1973;55:413-417.
© 1973 by The Journal of Bone and Joint Surgery, Inc

Coccidioidomycosis Tenosynovitis in the Hand

RONALD E. IVERSON M.D.1 and LARS M. VISTNES M.D.1

1 From the Department of Plastic Surgery, Stanford University Medical Center, Stanford, and Veterans Administration Hospital, Palo Alto

A patient with disseminated coccidioidomycosis with acute palmar tenosynovitis is presented. Early synovectomy followed by amphotericin B therapy was carried out and is recommended for treatment of coccidioidomycosis tenosynovitis. The association of an exacerbation of coccidioidomycosis in a patient with a history of coccidioidomycosis treated with immunosuppressive drugs is described. Prophylactic amphotericin B therapy is recommended for such patients.


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