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106 results
  • Mycobacterium abscessus felon complicated with osteomyelitis: not an ordinary nail salon visit. [Journal Article]
    Acta Clin Belg 2019; :1-5Gonzales Zamora JA, Villar Astete A
  • Mycobacterium abscessus is an environmental organism that has been implicated in pulmonary and extrapulmonary infections. Cases of furunculosis have been described in patients who underwent footbaths in nail salons; however, no cases of severe soft tissue infections or osteomyelitis have been reported following manicures. Here, we present the case of a 50-year-old woman who developed a felon in r…
  • Infections of the hand: an overview. [Review]
    EFORT Open Rev 2019; 4(5):183-193Flevas DA, Syngouna S, … Mavrogenis AF
  • Infections of the hand are common entities that are frequently encountered by orthopaedic surgeons and primary care physicians.A high clinical suspicion and a thorough medical history with information about the social and working history of the patients, correct identification of the type and cause of the infection, and prompt initiation of appropriate treatment by the infectious diseases physici…
  • Techniques for Continuous Irrigation of Septic Joints of the Hand. [Journal Article]
    Tech Hand Up Extrem Surg 2019Chung SR, Kang YC, McGrouther DA
  • Septic arthritis of the small joints of the hand usually occurs secondary to bacterial inoculation through penetrating injury to the joint, or direct spread of infection from paronychia, felon, or pyogenic flexor tenosynovitis. Surgical treatment involves drainage and irrigation and may involve debridement if there is an open wound. We describe a method of continuous irrigation of septic joints o…
  • Acute Hand Infections. [Journal Article]
    Am Fam Physician 2019; 99(4):228-236Rerucha CM, Ewing JT, … Cowan WC
  • Acute hand infections are often caused by puncture wounds and are generally classified into superficial or deep infections. Superficial infections occur in the skin and subcutaneous tissues, whereas deep infections can involve the tendon sheaths, adjacent anatomic compartments, deep fascial planes, bursae, joint spaces, and bones. Superficial hand infections are more common than deep infections a…
  • Trichogranuloma in a Hairdresser with Systemic Sclerosis. [Case Reports]
    Cureus 2018; 10(5):e2690Craveiro-Lopes B, Grant I, Adler AI
  • Trichogranuloma is a rare occupational disease of hairdressers that develops when hair clippings penetrate the skin and cause a foreign-body reaction. We describe a case of a hairdresser with limited cutaneous systemic sclerosis who developed a chronic felon on her right third finger and received repeated courses of antibiotics without improvement. An occupational history and awareness of occupat…
  • Hand Infections. [Review]
    J Hand Surg Am 2019; 44(1):46-54Koshy JC, Bell B
  • Infections are common in hand surgery and proper management is important to achieve optimal outcomes. Although most cases are not urgent, less common, severe infections such as flexor tenosynovitis and necrotizing fasciitis require urgent identification with both medical and surgical management. It is common for diagnoses to be missed or delayed because clinical and laboratory indicators are ofte…
  • Coagulase-Negative Staphylococcus Skin and Soft Tissue Infections. [Review]
    Am J Clin Dermatol 2018; 19(5):671-677Natsis NE, Cohen PR
  • Coagulase-negative staphylococcus organisms may be normal flora of human skin, however these bacteria can also be pathogens in skin and soft tissue infections. A summary of skin and soft tissue infections caused by coagulase-negative staphylococcus species is provided in this review. We conducted a search of the PubMed database using the following terms: abscess, auricularis, biofilm, capitis, ce…
  • Clinical Mimics: An Emergency Medicine-Focused Review of Cellulitis Mimics. [Review]
    J Emerg Med 2017; 53(4):475-484Blumberg G, Long B, Koyfman A
  • CONCLUSIONS: The current emergency medicine definition of cellulitis includes erythema, induration, warmth, and swelling. Given the common pathophysiologic pathways, cellulitis mimics often present in an analogous manner. These conditions include septic bursitis, septic joint, deep vein thrombosis, phlegmasia cerulea dolens, necrotizing fasciitis, flexor tenosynovitis, fight bite (closed fist injury), orbital cellulitis, toxic shock syndrome, erysipelas, abscess, felon, paronychia, and gouty arthritis. Many of these diseases have high morbidity and mortality if missed by the emergency physician. Differentiating these mimics from cellulitis can be difficult in the fast-paced emergency setting. A combination of history, physical examination, and focused diagnostic assessment may assist in correctly identifying the underlying etiology. For many of the high mortality cellulitis mimics, surgical intervention is necessary.Cellulitis and its mimics present similarly due to the same physiologic responses to skin and soft tissue infections. A combination of history, physical examination, and diagnostic assessment will help the emergency physician differentiate cellulitis from mimics. Surgical intervention is frequently needed for high morbidity and mortality mimics.
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