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Actinomycotic Osteomyelitis of the Hand and Wrist Treated with Pharmacotherapy Alone

Authors :
Vivek Singh
Arghya Kundu Choudhury
Vibha Mehta
Puneet Kumar Gupta
Siddharth S. Sethy
Gobinder Singh
Source :
JBJS Case Connector. 10:e19.00520-e19.00520
Publication Year :
2020
Publisher :
Ovid Technologies (Wolters Kluwer Health), 2020.

Abstract

Case Primary infection by Actinomyces is uncommon because susceptibility to infection requires breakdown of the normal protective mucosal barrier. Furthermore, involvement of the upper extremity is rare. This case report presents clinical, radiological, and pathological findings in a 26-year-old patient with actinomycosis of the hand that was treated successfully by pharmacotherapy alone without any surgical debridement. Conclusion Primary actinomycoses of the hand and upper extremity present as a challenging condition. It requires a high index of clinical suspicion and histopathologic diagnosis to guide treatment, typically involving antimicrobial therapy. This case highlights the usefulness of conservative treatment with antimicrobial therapy without surgical debridement.

Details

ISSN :
21603251
Volume :
10
Database :
OpenAIRE
Journal :
JBJS Case Connector
Accession number :
edsair.doi.dedup.....1e1f7e17acb9115b00cbda0688e2a8bd
Full Text :
https://doi.org/10.2106/jbjs.cc.19.00520