García Triana Montserrat, Fernández Echevarria María Antonia, Alvaro Rosa Landeras, Sagredo Pablo Sadaba, Parra Blanco Jose Antonio
Department of Radiology, Marqués de Valdecilla University Hospital, Avenida Valdecilla, s/n, 39008 Santander, Cantabria, Spain.
J Clin Ultrasound. 2003 Mar-Apr;31(3):159-62. doi: 10.1002/jcu.10144.
Pasteurella multocida is a common cause of infection in humans subsequent to bites or scratches by dogs and, particularly, cats. This infection usually results in superficial skin and soft tissue infections. Sonography can be used for diagnosing inflammatory conditions affecting tendons, including acute and chronic tenosynovitis. P. multocida tenosynovitis is rare, and the diagnosis can be missed if adequate tests are not performed. We report 2 cases of P. multocida tenosynovitis of the hand and wrist in which sonography played a valuable role in assessing the affected tissues and guiding fine-needle aspiration of fluid accumulations in the involved tendon sheaths. The diagnosis was confirmed microbiologically in each case.
多杀巴斯德菌是人类被狗，尤其是猫咬伤或抓伤后感染的常见病因。这种感染通常导致浅表皮肤和软组织感染。超声检查可用于诊断影响肌腱的炎症性疾病，包括急性和慢性腱鞘炎。多杀巴斯德菌性腱鞘炎罕见，如果未进行充分检查可能会漏诊。我们报告2例手部和腕部多杀巴斯德菌性腱鞘炎病例，其中超声检查在评估受影响组织和指导对受累腱鞘内积液进行细针穿刺抽吸方面发挥了重要作用。每例病例均经微生物学确诊。
