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Article: Mycobacterium marinum infection of the hand and wrist. Results of conservative treatment in twenty-four cases

TitleMycobacterium marinum infection of the hand and wrist. Results of conservative treatment in twenty-four cases
Authors
Issue Date1987
PublisherJournal of Bone and Joint Surgery. The Journal's web site is located at http://www.jbjs.org
Citation
Journal Of Bone And Joint Surgery - Series A, 1987, v. 69 n. 8, p. 1161-1168 How to Cite?
AbstractInadequate debridement, extensive scarring, and breakdown of the wound have been commonly encountered after surgical debridement has been employed as the initial treatment of infection with Mycobacterium marinum involving the deep structures of the hand. Because of our disappointment with the results of this form of treatment, from 1982 to 1986 we treated twenty-four patients who had such an infection with rifampicin and ethambutol after a diagnostic biopsy was done. Surgical treatment was deferred until it was determined that the infection had not been controlled by the chemotherapy. The clinical outcome for these patients could be divided into three patterns: eleven patients (Group I) had a good result with no complications, three patients (Group II) had delayed healing of the wound, and ten patients (Group III) did not have a good response to conservative treatment and required one or more surgical debridements. Complications were sometimes associated with use of the drugs, and loss of visual acuity was a concern in three patients. In twenty-one (87 per cent) of the patients, at follow-up the function of the treated hand was equal to that of the other hand. Persistent pain, a discharging sinus, and previous local injection of steroids were unfavorable prognostic factors. If these factors are present, surgical debridement is advised.
Persistent Identifierhttp://hdl.handle.net/10722/147799
ISSN
2015 Impact Factor: 5.163
2015 SCImago Journal Rankings: 2.938
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorChow, SPen_HK
dc.contributor.authorIp, FKen_HK
dc.contributor.authorLau, JHKen_HK
dc.contributor.authorCollins, RJen_HK
dc.contributor.authorLuk, KDKen_HK
dc.contributor.authorSo, YCen_HK
dc.contributor.authorPun, WKen_HK
dc.date.accessioned2012-05-29T06:09:17Z-
dc.date.available2012-05-29T06:09:17Z-
dc.date.issued1987en_HK
dc.identifier.citationJournal Of Bone And Joint Surgery - Series A, 1987, v. 69 n. 8, p. 1161-1168en_HK
dc.identifier.issn0021-9355en_HK
dc.identifier.urihttp://hdl.handle.net/10722/147799-
dc.description.abstractInadequate debridement, extensive scarring, and breakdown of the wound have been commonly encountered after surgical debridement has been employed as the initial treatment of infection with Mycobacterium marinum involving the deep structures of the hand. Because of our disappointment with the results of this form of treatment, from 1982 to 1986 we treated twenty-four patients who had such an infection with rifampicin and ethambutol after a diagnostic biopsy was done. Surgical treatment was deferred until it was determined that the infection had not been controlled by the chemotherapy. The clinical outcome for these patients could be divided into three patterns: eleven patients (Group I) had a good result with no complications, three patients (Group II) had delayed healing of the wound, and ten patients (Group III) did not have a good response to conservative treatment and required one or more surgical debridements. Complications were sometimes associated with use of the drugs, and loss of visual acuity was a concern in three patients. In twenty-one (87 per cent) of the patients, at follow-up the function of the treated hand was equal to that of the other hand. Persistent pain, a discharging sinus, and previous local injection of steroids were unfavorable prognostic factors. If these factors are present, surgical debridement is advised.en_HK
dc.languageengen_US
dc.publisherJournal of Bone and Joint Surgery. The Journal's web site is located at http://www.jbjs.orgen_HK
dc.relation.ispartofJournal of Bone and Joint Surgery - Series Aen_HK
dc.subject.meshAdolescenten_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshAged, 80 And Overen_US
dc.subject.meshCombined Modality Therapy - Methodsen_US
dc.subject.meshDebridementen_US
dc.subject.meshEthambutol - Administration & Dosageen_US
dc.subject.meshFemaleen_US
dc.subject.meshHanden_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshMycobacterium Infections - Complications - Diagnosis - Therapyen_US
dc.subject.meshPhysical Therapy Modalitiesen_US
dc.subject.meshPrognosisen_US
dc.subject.meshProspective Studiesen_US
dc.subject.meshRifampin - Administration & Dosageen_US
dc.subject.meshTenosynovitis - Diagnosis - Etiology - Therapyen_US
dc.subject.meshWound Healingen_US
dc.subject.meshWristen_US
dc.titleMycobacterium marinum infection of the hand and wrist. Results of conservative treatment in twenty-four casesen_HK
dc.typeArticleen_HK
dc.identifier.emailChow, SP: spchow@hku.hken_HK
dc.identifier.emailCollins, RJ: rcollins@hkucc.hku.hken_HK
dc.identifier.emailLuk, KDK: hcm21000@hku.hken_HK
dc.identifier.authorityChow, SP=rp00064en_HK
dc.identifier.authorityCollins, RJ=rp00251en_HK
dc.identifier.authorityLuk, KDK=rp00333en_HK
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.pmid3667646-
dc.identifier.scopuseid_2-s2.0-0023470727en_HK
dc.identifier.volume69en_HK
dc.identifier.issue8en_HK
dc.identifier.spage1161en_HK
dc.identifier.epage1168en_HK
dc.identifier.isiWOS:A1987K512600009-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridChow, SP=7201828376en_HK
dc.identifier.scopusauthoridIp, FK=6603683344en_HK
dc.identifier.scopusauthoridLau, JHK=7402446075en_HK
dc.identifier.scopusauthoridCollins, RJ=7403350455en_HK
dc.identifier.scopusauthoridLuk, KDK=7201921573en_HK
dc.identifier.scopusauthoridSo, YC=7006794052en_HK
dc.identifier.scopusauthoridPun, WK=7003726073en_HK

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