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Actinomycotic Osteomyelitis of the Hand and Wrist Treated with Pharmacotherapy Alone
- 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.
- Subjects :
- Adult
Male
medicine.medical_specialty
030230 surgery
Wrist
Actinomycosis
03 medical and health sciences
0302 clinical medicine
Pharmacotherapy
Humans
Medicine
Orthopedics and Sports Medicine
Pathological
030222 orthopedics
biology
business.industry
Clindamycin
Osteomyelitis
Ceftriaxone
Surgical debridement
biology.organism_classification
medicine.disease
Magnetic Resonance Imaging
Anti-Bacterial Agents
Surgery
medicine.anatomical_structure
Hand Bones
Radiological weapon
business
Actinomyces
Subjects
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