Department of Orthopaedic Surgery, Tulane University School of Medicine, 1430 Tulane Avenue, New Orleans, LA 70112, USA.
Department of Orthopaedic Surgery, Tulane University School of Medicine, 1430 Tulane Avenue, New Orleans, LA 70112, USA.
Hand Clin. 2020 Aug;36(3):345-353. doi: 10.1016/j.hcl.2020.03.008.
Systemic conditions are associated with higher rates of hand and upper extremity infections, leading to more severe and atypical presentations. Understanding the unique problems associated with some of the most common systemic conditions, including human immunodeficiency virus, diabetes mellitus, and rheumatoid arthritis, can assist the hand surgeon in diagnosing and treating infection in these patients. This article reviews the most common presentation of hand infections for these patients and summarizes current approaches to the management of hand infections for patients with common immunocompromising conditions.
系统性疾病与手部和上肢感染的发生率较高相关,导致更严重和非典型的表现。了解与一些最常见的系统性疾病相关的独特问题,包括人类免疫缺陷病毒、糖尿病和类风湿性关节炎,可以帮助手部外科医生诊断和治疗这些患者的感染。本文回顾了这些患者手部感染的最常见表现,并总结了目前针对患有常见免疫功能低下疾病的患者手部感染管理的方法。