Young-Afat Danny A, Dayicioglu Deniz, Oeltjen John C, Garrison Audene P
University of Amsterdam, The Netherlands ; Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Miami Miller School of Medicine, USA.
Case Rep Orthop. 2013;2013:587176. doi: 10.1155/2013/587176. Epub 2013 Jan 15.
Hand infections occurring after fishing and other marine-related activities may involve uncommon bacteria that are not susceptible to the conventional or empiric antibiotic therapy used to treat soft tissue infections. Therefore appropriate treatment is often delayed and could lead to severe hand damage. An illustrative case of fishing-related injury leading to complicated tenosynovitis and horseshoe abscess caused by Mycobacterium marinum and its treatment course is outlined. Laceration of the skin during boating is fairly common. Because of the rarity of some of the bacteria, referrals to the appropriate specialist including hand surgeons and infectious disease specialists should occur in early stages. M. marinum infections should always be considered in injuries related to seawater and fishing as this may lead to early appropriate treatment and prevent severe damage.
在钓鱼及其他与海洋相关活动后发生的手部感染，可能涉及不常见的细菌，这些细菌对用于治疗软组织感染的传统或经验性抗生素治疗不敏感。因此，适当的治疗往往会延迟，可能导致手部严重损伤。本文概述了一例因与钓鱼相关的损伤导致由海分枝杆菌引起的复杂性腱鞘炎和马蹄形脓肿及其治疗过程。划船时皮肤撕裂相当常见。由于某些细菌较为罕见，应在早期将患者转诊至包括手外科医生和传染病专家在内的合适专科医生处。对于与海水和钓鱼相关的损伤，应始终考虑海分枝杆菌感染，因为这可能带来早期适当治疗并防止严重损伤。
