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Infections of Deep Hand and Wrist Compartments.
Microorganisms ( IF 4.5 ) Pub Date : 2020-06-03 , DOI: 10.3390/microorganisms8060838
Konstantinos N Malizos 1 , Zoe K Papadopoulou 2 , Anna N Ziogkou 1 , Nikolaos Rigopoulos 1 , Efstratios D Athanaselis 1 , Socrates E Varitimidis 1 , Zoe C Dailiana 1
Affiliation  

The human hand is the most exposed part of the body to highest risk for injuries, loss of the skin integrity, and to the inoculation of bacteria, most commonly Staphylococcus aureus, Streptococcus β-haemolytic, and gram-negative. In case of an infection, the mobile anatomical structures and the synovial membranes in close proximity to each other may spread the pus towards deep spaces and compartments. Mild early infections without an abscess formation may respond to antibiotics, but at more advanced stage, erythema, swelling, stiffness, and severe pain may ensue. Abscess formation will cause debilitating pain, fever, systemic symptoms, and even sepsis. Necrotizing infections may threaten not only the limb, but also patient’s life. Therefore, an initially “trivial” hand injury should never be neglected, as it might turn into a deep space infection, which must be treated immediately with drainage, wound debridement, and i.v. antibiotics. Delay in diagnosis and inadequate initial management might rapidly lead to abscess formation, destruction of the gliding surfaces and the normal anatomy, and irreparable functional deterioration.

中文翻译:

深部手腕室感染。

人的手是人体最容易受伤的部分,极易遭受伤害,皮肤完整性丧失以及细菌接种,最常见的是金黄色葡萄球菌,溶血性链球菌和革兰氏阴性菌。在感染的情况下,相互靠近的活动解剖结构和滑膜可能会使脓液向深处和隔室扩散。没有脓肿形成的轻度早期感染可能对抗生素有反应,但在晚期,可能会出现红斑,肿胀,僵硬和剧烈疼痛。脓肿的形成会导致虚弱的疼痛,发烧,全身症状,甚至败血症。坏死性感染不仅可能威胁肢体,而且可能威胁患者的生命。因此,一开始就不应该忽视的手部伤害,因为它可能会变成深空感染,必须立即进行引流,伤口清创和静脉注射抗生素治疗。延误诊断和不适当的初始治疗可能迅速导致脓肿形成,滑行表面破坏和正常解剖结构以及无法修复的功能恶化。
更新日期:2020-06-03
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