Miron D, Raz R, Kaufman B, Fridus B
Infectious Disease Unit, Central Emek Hospital, Afula, Israel.
Isr J Med Sci. 1993 Apr;29(4):194-7.
Between July 1989 and August 1990, five children (four boys and one girl, age 10-14 years) were hospitalized due to foot infection following nail puncture wound. Symptoms and signs at presentation included cellulitis and deep tissue abscess in all five, fever in three, high erythrocyte sedimentation rate in four, and leukocytosis in two patients. Pseudomonas aeruginosa was grown in pus culture that was taken from all the children at presentation. In three children who were initially treated by local debridement and drainage followed by anti-pseudomonal agents, plantar Pseudomonas osteochondritis later developed. In two children extensive debridement of affected tissues and drainage of pus were performed followed by 2 weeks of parenteral anti-Pseudomonas antibiotics. No further complication occurred. The clinician should be aware that any complication of nail puncture wound of the foot may require surgery.
1989年7月至1990年8月期间，五名儿童（四名男孩和一名女孩，年龄10 - 14岁）因足部被钉子刺伤后感染而住院。就诊时的症状和体征包括五名患儿均有蜂窝织炎和深部组织脓肿，三名发热，四名红细胞沉降率升高，两名白细胞增多。所有患儿就诊时采集的脓液培养物中均培养出铜绿假单胞菌。三名最初接受局部清创引流并随后使用抗假单胞菌药物治疗的儿童后来发生了足底假单胞菌性骨软骨炎。两名儿童接受了受影响组织的广泛清创和脓液引流，随后接受了两周的肠外抗假单胞菌抗生素治疗。未发生进一步并发症。临床医生应意识到足部钉子刺伤的任何并发症可能都需要手术治疗。
