Disseminated sporotrichosis presenting with granulomatous inflammatory multiple mononeuropathies
Identifieur interne : 001B55 ( Main/Exploration ); précédent : 001B54; suivant : 001B56Disseminated sporotrichosis presenting with granulomatous inflammatory multiple mononeuropathies
Auteurs : Michelle L. Mauermann [États-Unis] ; Christopher J. Klein [États-Unis] ; Robert Orenstein [États-Unis] ; P. James B. Dyck [États-Unis]Source :
- Muscle & Nerve [ 0148-639X ] ; 2007-12.
English descriptors
- Teeft :
- Abscess, Brillation potentials, Bystander effect, Carpal tunnel syndrome, Case report, Clin, Conduction, Conduction blocks, December, Direct infection, Direct nerve infection, Fungal, Fungal cultures, Fungal organisms, Granulomatous, Human virus, Immune, Immune reconstitution, Immune reconstitution syndrome, Initial symptoms, Magnetic resonance imaging, Mayo clinic college, Methenamine silver, Moderate weakness, Mononeuropathy, Mononuclear cells, Multiple mononeuropathies, Muscle nerve, Muscle nerve december, Mycophenolate mofetil, Nerve, Nerve compression, Nerve conduction studies, Neurological symptoms, Neuropathy, Neuropathy impairment score, Palm trees, Reconstitution, Right forearm, Right hand, Right wrist, Right wrist pain, Sporothrix, Sporothrix schenckii, Sporothrix species, Sporotrichosis, Sporotrichosis neuropathy, Syndrome.
Abstract
We describe a case of sporotrichosis that disseminated to involve multiple nerves after initiation of immunosuppressive therapy and then precipitously worsened after withdrawal of therapy. This case illustrates that multiple mononeuropathies are not always caused by vasculitis, and a correct pathological diagnosis should be established before treatment. Based on clinical and pathological features, the mechanism of neuropathy may have been due to either direct nerve infection or a bystander effect of inflammatory/immune damage or, perhaps more likely, to both mechanisms. Muscle Nerve, 2007
Url:
DOI: 10.1002/mus.20830
Affiliations:
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Le document en format XML
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<term>Case report</term>
<term>Clin</term>
<term>Conduction</term>
<term>Conduction blocks</term>
<term>December</term>
<term>Direct infection</term>
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<term>Initial symptoms</term>
<term>Magnetic resonance imaging</term>
<term>Mayo clinic college</term>
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<term>Moderate weakness</term>
<term>Mononeuropathy</term>
<term>Mononuclear cells</term>
<term>Multiple mononeuropathies</term>
<term>Muscle nerve</term>
<term>Muscle nerve december</term>
<term>Mycophenolate mofetil</term>
<term>Nerve</term>
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<term>Nerve conduction studies</term>
<term>Neurological symptoms</term>
<term>Neuropathy</term>
<term>Neuropathy impairment score</term>
<term>Palm trees</term>
<term>Reconstitution</term>
<term>Right forearm</term>
<term>Right hand</term>
<term>Right wrist</term>
<term>Right wrist pain</term>
<term>Sporothrix</term>
<term>Sporothrix schenckii</term>
<term>Sporothrix species</term>
<term>Sporotrichosis</term>
<term>Sporotrichosis neuropathy</term>
<term>Syndrome</term>
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<front><div type="abstract" xml:lang="en">We describe a case of sporotrichosis that disseminated to involve multiple nerves after initiation of immunosuppressive therapy and then precipitously worsened after withdrawal of therapy. This case illustrates that multiple mononeuropathies are not always caused by vasculitis, and a correct pathological diagnosis should be established before treatment. Based on clinical and pathological features, the mechanism of neuropathy may have been due to either direct nerve infection or a bystander effect of inflammatory/immune damage or, perhaps more likely, to both mechanisms. Muscle Nerve, 2007</div>
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