Mycobacterium fortuitum infections of the hand. Report of five cases.
Five cases are reported of infection due to Mycobacterium fortuitum involving the hand following contaminated injection or traumatic wounds. Synovectomy, debridement, or amputation together with prolonged chemotherapy using kanamycin or amikacin were required. Doxycycline and sulphamethoxasole also seemed to be the effective antibiotics for this organism. A high index of suspicion is important in order to obtain the correct diagnosis.
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F K
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Department of Orthopaedic Surgery, Queen Mary Hospital, Hong Kong.
Chow
S P
SP
D000328:Adult; D000368:Aged; D000671:Amputation, Surgical; D000995:Antitubercular Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D003646:Debridement; D005260:Female; D005385:Fingers / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009165:Mycobacterium Infections, Nontuberculous / Q000188:drug therapy / Q000601:surgery* / Q000635:transmission; D000074402:Synovectomy; D013933:Thumb / Q000601:surgery*; D014394:Tuberculosis, Osteoarticular / Q000188:drug therapy / Q000601:surgery* / Q000635:transmission
D000995:Antitubercular Agents