Gonzalez M H, Garst J, Nourbash P, Pulvirenti J, Hall R F
Department of Orthopaedics, University of Illinois, Chicago.
J Hand Surg Am. 1993 Sep;18(5):868-70. doi: 10.1016/0363-5023(93)90056-9.
A 4-year retrospective review of 59 consecutive upper extremity abscesses associated with drug abuse by injection is reported. There were 57 patients, with the most common location being the forearm. All abscesses were treated with incision, drainage, and intravenous antibiotics. Seventeen patients required more than one debridement; nine were complicated by fasciitis, osteomyelitis, septic arthritis, or septic tenosynovitis. Thirty-one patients had human immunodeficiency virus testing, and nine results were positive. Bacteriology showed the most common organisms to be streptococcus, Staphylococcus aureus, and Eikenella corrodens. Nineteen percent of the abscesses had anaerobes cultured. Most of the organisms cultured were common oral or skin flora.
本文报告了一项对59例连续发生的与注射吸毒相关的上肢脓肿进行的4年回顾性研究。共有57例患者，最常见的部位是前臂。所有脓肿均采用切开引流及静脉使用抗生素治疗。17例患者需要进行不止一次清创；9例并发筋膜炎、骨髓炎、化脓性关节炎或化脓性腱鞘炎。31例患者进行了人类免疫缺陷病毒检测，9例结果呈阳性。细菌学检查显示最常见的病原体为链球菌、金黄色葡萄球菌和腐蚀艾肯菌。19%的脓肿培养出厌氧菌。培养出的大多数病原体为常见的口腔或皮肤菌群。
