Forgotten but Not Gone! Syphilis Induced Tenosynovitis
Joint Authors
Abu Hazeem, Mahmoud
Ratnaraj, Felicia
Brooks, David
Walton, Mollie
Nagabandi, Arun
Source
Case Reports in Infectious Diseases
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-12-06
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Objective.
Tenosynovitis, inflammation of a tendon and its synovial sheath, is a rare manifestation of secondary syphilis and if diagnosed early is reversible.
Background.
A 52-year-old male with past medical history of untreated syphilis presented with gradual onset of swelling and pain of the right fourth metacarpophalangeal joint (MCP).
He reported a history of painless penile lesions after having sexual intercourse with a new partner approximately five months ago which was treated with sulfamethoxazole/trimethoprim.
An RPR done at that time came back positive with a high titer; however, patient was lost to follow-up.
On examination, patient had an edematous, nonerythematous right fourth proximal interphalangeal (PIP) joint.
Urgent irrigation, debridement, and exploration of the right hand into the tendon sheath were performed.
With his history of syphillis, an RPR was done, which was reactive with a titer of 1 : 64.
A confirmatory FTA-ABS test was completed, rendering a positive result.
Based on his history of untreated syphilis, dormancy followed by clinical scenario of swelling of the right fourth finger, and a high RPR titer, he was diagnosed with secondary syphilis manifesting as tenosynovitis.
American Psychological Association (APA)
Ratnaraj, Felicia& Brooks, David& Walton, Mollie& Nagabandi, Arun& Abu Hazeem, Mahmoud. 2016. Forgotten but Not Gone! Syphilis Induced Tenosynovitis. Case Reports in Infectious Diseases،Vol. 2016, no. 2016, pp.1-4.
https://search.emarefa.net/detail/BIM-1101014
Modern Language Association (MLA)
Ratnaraj, Felicia…[et al.]. Forgotten but Not Gone! Syphilis Induced Tenosynovitis. Case Reports in Infectious Diseases No. 2016 (2016), pp.1-4.
https://search.emarefa.net/detail/BIM-1101014
American Medical Association (AMA)
Ratnaraj, Felicia& Brooks, David& Walton, Mollie& Nagabandi, Arun& Abu Hazeem, Mahmoud. Forgotten but Not Gone! Syphilis Induced Tenosynovitis. Case Reports in Infectious Diseases. 2016. Vol. 2016, no. 2016, pp.1-4.
https://search.emarefa.net/detail/BIM-1101014
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1101014