Infections of Deep Hand and Wrist Compartments
| Autor: | S. Varitimidis, Anna Ziogkou, Konstantinos N. Malizos, Zoe K. Papadopoulou, Z. Dailiana, Efstratios D. Athanaselis, Nikolaos Rigopoulos |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Microbiology (medical)
pyogenic flexor tenosynovitis medicine.medical_specialty Erythema medicine.drug_class hand and wrist compartments necrotizing fasciitis Antibiotics 030230 surgery Wrist medicine.disease_cause Microbiology Sepsis hand infection 03 medical and health sciences 0302 clinical medicine Virology Tutorial Medicine Parona’s space Abscess septic arthritis lcsh:QH301-705.5 030222 orthopedics Hand injury business.industry medicine.disease Surgery medicine.anatomical_structure lcsh:Biology (General) Staphylococcus aureus Septic arthritis medicine.symptom business |
| Zdroj: | Microorganisms Microorganisms, Vol 8, Iss 838, p 838 (2020) |
| ISSN: | 2076-2607 |
| Popis: | The human hand is the most exposed part of the body to highest risk for injuries, loss of the skin integrity, and to the inoculation of bacteria, most commonly Staphylococcus aureus, Streptococcus β-haemolytic, and gram-negative. In case of an infection, the mobile anatomical structures and the synovial membranes in close proximity to each other may spread the pus towards deep spaces and compartments. Mild early infections without an abscess formation may respond to antibiotics, but at more advanced stage, erythema, swelling, stiffness, and severe pain may ensue. Abscess formation will cause debilitating pain, fever, systemic symptoms, and even sepsis. Necrotizing infections may threaten not only the limb, but also patient’s life. Therefore, an initially “trivial” hand injury should never be neglected, as it might turn into a deep space infection, which must be treated immediately with drainage, wound debridement, and i.v. antibiotics. Delay in diagnosis and inadequate initial management might rapidly lead to abscess formation, destruction of the gliding surfaces and the normal anatomy, and irreparable functional deterioration. |
| Databáze: | OpenAIRE |
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