Pyogenic Flexor Tenosynovitis Caused by Shewanella putrefaciens.
dip: distal interphalangeal
flexor tenosynovitis
shewanella putrefaciens
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
14 May 2020
14 May 2020
Historique:
entrez:
17
6
2020
pubmed:
17
6
2020
medline:
17
6
2020
Statut:
epublish
Résumé
Flexor tenosynovitis is a surgical emergency due to the risk of tendon necrosis which can lead to subsequent amputation. We report a case of flexor tenosynovitis with Shewanella putrefaciens as the implicated organism, though the patient's mechanism of penetrating trauma did not involve a marine exposure. Shewanella are Gram negative bacilli associated with marine environments and have rarely been implicated in human disease. This patient presented with all four of Kanavel's signs and required open surgical irrigation and debridement; he was found to have purulence but no flexor tendon necrosis. This case emphasizes the importance of considering marine organisms as putative for flexor tenosynovitis, even if marine exposure does not occur at the time of the penetrating trauma. It also emphasizes the need to obtain a thorough patient history, especially in cases of infection, to assess for all possible environmental exposures.
Identifiants
pubmed: 32542166
doi: 10.7759/cureus.8113
pmc: PMC7292706
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e8113Informations de copyright
Copyright © 2020, Patel et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
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