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Unresolved swelling of the hand: Think of Mycobacterium marinum infection.


ABSTRACT: The surgical intervention and adjuvant locally applied measures to reduce the impact of a severe cutaneous hand infection caused by Mycobacterium marinum in a 48-year-old diver, receiving anti-TNFa (anti-tumor necrosis factor ?lpha) treatment are presented herein. Careful surgical intervention- considered controversial so far-and lateral thinking are essential for the outcome of musculoskeletal infections caused by M marinum. Locally applied disinfection strategies inspired from fields other than medical (e.g. environmental biology) and clearly set surgery goals - aiming at optimizing tissue sampling, antibiotic penetration, decompression while preventing iatrogenic spread are discussed.

SUBMITTER: Drakou A 

PROVIDER: S-EPMC6994711 | biostudies-literature | 2020 Apr

REPOSITORIES: biostudies-literature

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Unresolved swelling of the hand: Think of <i>Mycobacterium marinum</i> infection.

Drakou A A   Psifis M M   Mitrou A A   Zygoggianis K K   Argyropoulou Ourania O  

Trauma case reports 20200123


The surgical intervention and adjuvant locally applied measures to reduce the impact of a severe cutaneous hand infection caused by <i>Mycobacterium marinum</i> in a 48-year-old diver, receiving anti-TNFa (anti-tumor necrosis factor αlpha) treatment are presented herein. Careful surgical intervention- considered controversial so far-and lateral thinking are essential for the outcome of musculoskeletal infections caused by M marinum. Locally applied disinfection strategies inspired from fields ot  ...[more]

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