Orthopaedic Surgery, NYU Langone Health, New York, New York, USA
Orthopaedic Surgery, Naval Medical Center Portsmouth, Portsmouth, Virginia, USA.
BMJ Case Rep. 2023 Jul 11;16(7):e254357. doi: 10.1136/bcr-2022-254357.
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.
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。