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婴儿化脓性屈肌腱腱鞘炎。

Pyogenic flexor tenosynovitis due to in an infant.

机构信息

Orthopaedic Surgery, NYU Langone Health, New York, New York, USA

Orthopaedic Surgery, Naval Medical Center Portsmouth, Portsmouth, Virginia, USA.

出版信息

BMJ Case Rep. 2023 Jul 11;16(7):e254357. doi: 10.1136/bcr-2022-254357.

DOI:10.1136/bcr-2022-254357
PMID:37433692
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10347477/
Abstract

Pyogenic flexor tenosynovitis is relatively common but is seldom reported in young children. is increasingly recognised as a causative agent. We report on an infant who presented with a palmar deep space infection and pyogenic flexor tenosynovitis caused by is a fastidious, often culture-negative, organism which has been increasingly recognised as a cause of paediatric orthopaedic infections, including flexor tenosynovitis. Clinical suspicion should be heightened, and antibiotic coverage broadened in the setting of a positive physical examination and negative blood cultures.

摘要

化脓性屈肌腱腱鞘炎在儿童中较为常见,但很少见。 已被越来越多地认为是一种病原体。我们报告了一例婴儿,他表现为手掌深部间隙感染和化脓性屈肌腱腱鞘炎,由 引起。 是一种难以培养的病原体,常为阴性,但已被越来越多地认为是小儿矫形感染的原因之一,包括屈肌腱腱鞘炎。在体格检查阳性和血培养阴性的情况下,应提高临床怀疑,并扩大抗生素覆盖范围。

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本文引用的文献

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In vitro Activity of Ceftaroline Against an International Collection of Kingella kingae Isolates Recovered From Carriers and Invasive Infections.体外研究头孢洛林对从携带者和侵袭性感染中分离的国际金氏金菌分离株的活性。
Pediatr Infect Dis J. 2023 Mar 1;42(3):206-211. doi: 10.1097/INF.0000000000003799. Epub 2022 Dec 28.
2
Osteoarticular infection in children.儿童骨与关节感染。
Bone Joint J. 2021 Mar;103-B(3):578-583. doi: 10.1302/0301-620X.103B3.BJJ-2020-0936.R2.
3
Ultrasound diagnosis of pyogenic flexor tenosynovitis in a 9-month-old infant: a rare case report.9个月婴儿化脓性屈指肌腱腱鞘炎的超声诊断:1例罕见病例报告
J Ultrasound. 2022 Jun;25(2):365-368. doi: 10.1007/s40477-021-00567-x. Epub 2021 Feb 6.
4
Current Concepts in Pediatric Septic Arthritis.小儿化脓性关节炎的现代概念。
J Am Acad Orthop Surg. 2021 Mar 1;29(5):196-206. doi: 10.5435/JAAOS-D-20-00835.
5
Osteoarticular infections in pediatrics.儿童骨与关节感染。
J Pediatr (Rio J). 2020 Mar-Apr;96 Suppl 1(Suppl 1):58-64. doi: 10.1016/j.jped.2019.10.005. Epub 2019 Nov 26.
6
Pyogenic Flexor Tenosynovitis in an Infant.婴儿脓性屈指肌腱腱鞘炎
Clin Pract Cases Emerg Med. 2017 Mar 13;1(2):89-91. doi: 10.5811/cpcem.2016.12.31521. eCollection 2017 May.
7
Pyogenic Tenosynovitis in Infants: A Case Series.婴儿脓性腱鞘炎:病例系列
Pediatr Infect Dis J. 2017 Nov;36(11):1097-1099. doi: 10.1097/INF.0000000000001673.
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Clinical Characteristics of Pyogenic Flexor Tenosynovitis in Pediatric Patients.小儿化脓性屈指肌腱腱鞘炎的临床特征
J Hand Surg Am. 2017 May;42(5):388.e1-388.e5. doi: 10.1016/j.jhsa.2017.02.007. Epub 2017 Mar 22.
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Pyogenic (Suppurative) Flexor Tenosynovitis: Assessment and Management.化脓性屈指肌腱腱鞘炎:评估与处理
Eplasty. 2016 Feb 12;16:ic7. eCollection 2016.
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In Brief: Kanavel's Signs and Pyogenic Flexor Tenosynovitis.简而言之:卡纳韦尔征与化脓性屈指肌腱腱鞘炎。
Clin Orthop Relat Res. 2016 Jan;474(1):280-4. doi: 10.1007/s11999-015-4367-x. Epub 2015 May 29.