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PubMed · 1729665

Hand infections.

M R Hausman·S P Lisser
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Abstract

The diagnosis and treatment of common hand infections are reviewed. A practical approach to the treatment of these conditions is detailed. This approach emphasizes the anatomic compartments of the hand, the microbiology of infecting organisms, and the patient conditions which modify treatment. Prompt and accurate diagnosis, treatment, and rehabilitation are key for optimal outcome.

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Arthritis, InfectiousBites, HumanHandHand InjuriesHumansInfectionsOsteomyelitisParonychiaTenosynovitisWound InfectionJournal ArticleReview

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M R Hausman, S P Lisser. 1992. Hand infections.. https://pubmed.ncbi.nlm.nih.gov/1729665/

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Disseminated gonococcal infection presenting as vasculitis: a case report.

A 50-year-old man with alcoholic liver disease presented with fever, tenosynovitis, polyarthritis and a vasculitic rash on the hands and feet for 4 days. He had neutrophilia and raised inflammatory markers. He had no history of sore throat, urethral discharge or travel abroad. His initial blood cultures were negative, and he was treated for vasculitis with steroids. The rash and arthritis seemed to improve initially, but he had another episode of fever. Repeat blood cultures grew Neisseria gonorrhoeae,and he received intravenous ceftriaxone followed by oral ciprofloxacin. He had marked improvement in rash, tenosynovitis and arthritis, and the fever dropped. He also had chlamydial urethritis and received azithromycin. The presentation of disseminated gonococcal infection after a presumptive episode of asymptomatic urethral gonorrhoea is highlighted.

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