Amputation der Hand bei nekrotisierender Fasziitis: Ein Fallbericht

Hohendorff, B.; S, Seyler; Naik, Monappa A; Biber, F.; Franke, Jöerg

doi:10.1055/s-0034-1370957

Cited by 6 publications

(4 citation statements)

References 6 publications

(6 reference statements)

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“…Within days a fulminant, streptococcal necrotizing fasciitis of the hand developed. The patient's life was saved by amputation of the hand [5]. Other authors reported about two patients with necrotising fasciitis of the hand, whose lives were saved thanks to intensive medical therapy, as well as by radical, serial surgical debridement [6].…”

Section: Literature Reviewmentioning

confidence: 99%

Fulminant Finger Necrosis in the Course of streptococcal Phlegmon to the Hand: a Report of 2 cases

Żyluk

2022

Handchir Mikrochir Plast Chir

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Section: Literature Reviewmentioning

confidence: 99%

Fulminant Finger Necrosis in the Course of streptococcal Phlegmon to the Hand: a Report of 2 cases

Żyluk

2022

Handchir Mikrochir Plast Chir

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“…The trauma history may provide a hint to possible causative microorganisms (Table 1). A gout tophus that is infected and perforates into the joint [26], or adjacent severe skin and softtissue infection [27,28], are less frequently reported routes of exogenous infections.…”

Section: Septic Arthritismentioning

confidence: 99%

“…In a study that included 418 hand infections, 71.3% of patients had a body temperature of <37 C and 63% had normal Creactive protein levels at admission [6]. Conversely, the presence of markedly elevated laboratory parameters indicates a remote source of infection [30,39], a severe and rapidly spreading soft-tissue infection [27,28], or concomitant crystalline inflammation [46].…”

Section: Laboratory Findingsmentioning

confidence: 99%

Bone and joint infections of the hand

Sendi

Kaempfen

Uçkay

et al. 2020

Clinical Microbiology and Infection

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Background: Little guidance is currently available for standardized diagnostic protocols and therapeutic recommendations for bone and joint infections (BJIs) of the hand. Objectives: To summarize the available data in the scientific English-language literature on the diagnosis and treatment of native BJIs of the hand. To illustrate these concepts from a narrative point of view in areas where there is lack of evidence. Sources: We performed a systematic PubMed and Internet search of studies that investigated hand BJIs in adult patients. Content: Few studies have systematically investigated and validated diagnostic concepts, classifications or surgical treatment protocols. Most concepts derive from traditional intra-institutional experience, expert opinions and extrapolations from infections in large joints and long bones. Similarly, there is no uniformly accepted infection definition of BJIs of the hand. The best-documented literature is available for microbiological findings and antibiotic treatment duration in uncomplicated native joint arthritis of the fingers. Retrospective studies and one prospective randomized trial suggest that post-surgical targeted antibiotic therapy of 2 weeks results in a microbiological cure rate of 88%. Implications: Studies on diagnostic workup and infection definition and classification are urgently needed to compare inter-institutional outcome results and generate guidelines for the best patient care. For uncomplicated pyogenic arthritis of native joints, current evidence suggests that a 2-week course of antibiotic therapy following surgery cures the infection.

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“…Musculoskeletal diseases · Debridement · Antibiotics · Intensive care unit · Soft tissue injuries stamm sicher verhindert und das Über-leben des Patienten gewährleistet werden kann [12]. Hier gilt dann klar das Konzept "life before limb".…”

Section: Introductionunclassified