[Streptococcus cellulitis. Apropos of 3 clinical cases].
We report three cases of streptococci cellulitis of the hand. The characteristic clinical presentation suggested streptococcus infection; locoregional edema, rash, echymosis, phlyctena and signs of finger ischemia. Operative findings also suggested streptococcus infection: swelling of brownish subcutaneous tissue and local thrombus formation. There was no true pus formation. Streptococcus was identified in all 3 cases. Emergency surgical treatment is needed. The portal is opened, followed by extensive fasciotomy and debridement of all necrosed tissue. Partial suture is indicated. Antibiotics can be used as an adjunct but are not sufficient alone.
Tropet
Y
Y
Service de chirurgie orthopédique traumatologique et plastique (Pr Vichard), Hôpital J. Minjoz, Besançon.
Garbuio
P
P
Elias
B
B
Irrazi
M B
MB
Vichard
P
P
D000328:Adult; D002481:Cellulitis / Q000382:microbiology* / Q000601:surgery; D004630:Emergencies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013290:Streptococcal Infections / Q000601:surgery; D013292:Streptococcus agalactiae; D013297:Streptococcus pyogenes
Les panaris à streptocoque. A propos de 3 cas cliniques.