Sem Sei Haw, Chen Kang Wang
Orthopaedics, Hospital Sultanah Aminah Johor Bahru, Kuala Lumpur, MYS.
Faculty of Medicine, University Sultan Zainal Abidin, Kuala Terengganu, MYS.
Cureus. 2023 Jun 9;15(6):e40175. doi: 10.7759/cureus.40175. eCollection 2023 Jun.
Cat scratch disease (CSD) is an uncommon condition. When a patient is infected, the disease is often self-limiting. Cat scratch disease involving the musculoskeletal system had been described, but the manifestation of the disease in hand remained unexplored. We report a case of chronic flexor tenosynovitis of the left index finger caused by cat scratch disease. In this case, the antibiotic treatment did not improve the clinical outcome. However, surgical debridement of the diseased finger resulted in a tremendous improvement in terms of pain and range of motion.
猫抓病(CSD)是一种罕见病症。患者感染后,该病通常具有自限性。此前已有猫抓病累及肌肉骨骼系统的相关描述,但该病在手部的表现仍未得到探索。我们报告一例由猫抓病引起的左示指慢性屈肌腱腱鞘炎病例。在此病例中,抗生素治疗并未改善临床结果。然而,对患指进行手术清创后,疼痛和活动范围方面有了极大改善。