Intérêt d’un « second look » systématique à 48–72heures dans les injections à haute pression de la main : une étude rétrospective

Chaput, Benoît; Gorce, H. Nouaille de; Courtade-Saïdi, Monique; Aprédoaei, Costel; Rongières, M.; Chavoin, J.-P.; Grolleau, J.-L.; Garrido, I.

doi:10.1016/j.main.2012.07.001

Cited by 2 publications

(3 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This might be the result of skin flora inoculation during injury [5,8]. An emerging pathogen is the Staphylococcus aureus that carries the PVL gene; it is usually community-acquired and leads to necrotic lesions [8][9][10][11][12]. Hand injuries in fishermen and people working near to still water may be infected by Mycobacterium marinum, the identification of which, requires special conditions and culture means.…”

Section: Pathogensmentioning

confidence: 99%

“…In the more severe hand infections, systemic symptoms with high fever, tachycardia, pain, and a white blood cell count above 12.000/μL, are common in immunocompromised patients with RA, diabetes mellitus, gout, peripheral vascular disease or renal failure, and in i.v. drug users, alcoholics, or patients under steroids [8][9][10][11][13][14][15][16][17][18][19]. This severe type might also occur when incision and drainage of an abscess followed by oral antibiotics, have failed.…”

Section: Clinical Appearance and Diagnosismentioning

confidence: 99%

“…Antibiotics are usually required for seven to 10 days, unless complications arise. The oral empiric antibiotic treatment that is expected to be effective against suspected community-acquired methicillin resistant Staphylococcus aureus infections includes linezolid ciprofloxacin, clindamycin, rifampin, tetracyclines, and TMP (trimethoprim/sulfamethoxazole) [ 5 , 6 , 9 , 10 ].…”

Section: Therapeutic Approachmentioning

confidence: 99%

See 2 more Smart Citations

Infections of Deep Hand and Wrist Compartments

et al. 2020

View full text Add to dashboard Cite

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.

show abstract