Arch Hand Microsurg.  2019 Jun;24(2):162-166. 10.12790/ahm.2019.24.2.162.

Tenosynovitis on Finger in Children due to Shewanella algae

• Hong SW
• Choi HJ
• Lee DW

• KMID: 2448050
• DOI: http://doi.org/10.12790/ahm.2019.24.2.162

Abstract

Infection of the hands is a relatively common disease that can occur after the injury of the fingers. Commonly, these common diseases can be treated with empirical antibiotic therapy within accurate and detailed information from their patients. But, some health care providers often simply think about this disease as simple infection and inflammation and just prescribe the empirical antibiotics without precise medical examination. Depending on the source of the infection, some patients will not readily fit into the standard antibiotic regimens that are commonly used for community pathogen. If accurate diagnosis within early treatment is delayed, it will cause the complications such as tenosynovitis, osteomyelitis and necrotizing fasciitis. By way of example, we describe the rare case of critically exacerbated from simple laceration to tenosynovitis caused by Shewanella algae whose infection was related to his initial injury and not the subsequent treatment.

Keyword

Shewanella; Hand; Tenosynovitis; Sea water

MeSH Terms

Anti-Bacterial Agents
Child*
Diagnosis
Fasciitis, Necrotizing
Fingers*
Hand
Health Personnel
Humans
Inflammation
Lacerations
Osteomyelitis
Seawater
Shewanella*
Tenosynovitis*
Anti-Bacterial Agents

Figure

• 

  Fig. 1 A 6-year-old boy with tenosynovitis on left index finger. Immediate image on his admission. Raw surface accompanied by diffuse induration with swelling and yellowish turbid discharge.

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  Fig. 2 Radiologic inspection images (left index finger lateral view). (A) Immediate radiologic image on his admission. Minute radiopaque densities seen as foreign bodies. (B) Immediate postoperative radiologic image: no visual foreign body and gross bony abnormalities.

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  Fig. 3 Two months after discharge image. Wound was totally healed without any complications.

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