title: Streptococcus milleri infection.
abstract: We report three cases of flexor sheath infection due to Streptococcus milleri in two patients. Soft tissue damage was extensive despite surgical debridement and appropriate antibiotic therapy. One patient had two digits amputated and the other had the affected digit amputated at the level of the proximal interphalangeal joint. These cases illustrate the potential pathogenicity of a bacterium which is often regarded as a commensal.
authors.affiliation: Department of Orthopaedic Surgery, Sligo General Hospital, Ireland.
authors.forename: J V
authors.initials: JV
authors.lastname: Lunn
authors.forename: K J
authors.initials: KJ
authors.lastname: Rahman
authors.forename: A C
authors.initials: AC
authors.lastname: Macey
mesh_terms: D000671:Amputation, Surgical; D003131:Combined Modality Therapy; D003646:Debridement; D005260:Female; D005385:Fingers / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010406:Penicillins / Q000627:therapeutic use; D012008:Recurrence; D012086:Reoperation; D018461:Soft Tissue Infections / Q000175:diagnosis / Q000601:surgery*; D013290:Streptococcal Infections / Q000175:diagnosis / Q000601:surgery*; D052256:Tendinopathy / Q000175:diagnosis / Q000601:surgery*
chemical_list: D010406:Penicillins