[The etiological study, diagnose and therapy of hand special chronic infections in littoral area].
OBJECTIVE
To explore the etiological factors of hand special chronic infections and their relationship with tuberculosis, and to give evidence for clinical diagnosis as well as treatments.


METHODS
From 2002 to 2004 pathologic inspection, acid-fast stain, bacterial cultication, mycobacterial cultivation were performed in all 29 cases of hand special chronic infections.


RESULTS
All cases showed granulomatous lesions in pathological appearance, 2 positive in acid-fast stain, 12 positive in bacteria cultivation, and 1 nocardiosis, 1 staphylococcus epidermidis, 7 M.marinum, 1 M.tuberculosis, 1 M.fortuitum, 1 M.kansasii.


CONCLUSIONS
Non-tuberculo-mycobacterium (NTM) especially M.marinum are far more important as the major factor than tuberculosis and other bacterial in hand special chronic infections. Bacteria cultivation should be routine examined for all cases.
Zhang
Wei-wen
WW
Department of Hand Surgery, Sixth Hospital, Ningbo 315040, China. nblyzww@21cn.com
Li
Xue-yuan
XY
Chen
Hong
H
Wang
Xin
X
Wang
Xiao-feng
XF
Zhou
Li-ming
LM
Chen
Qing-shan
QS
Chen
De-song
DS
D000328:Adult; D000368:Aged; D002908:Chronic Disease; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D005260:Female; D006229:Hand Dermatoses / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D009165:Mycobacterium Infections, Nontuberculous / Q000175:diagnosis / Q000628:therapy; D019910:Mycobacterium marinum; D012189:Retrospective Studies; D014382:Tuberculosis, Cutaneous / Q000175:diagnosis / Q000628:therapy