title: Chronic Mycobacterium infection of first dorsal web space after accidental Bacilli Calmette-Guérin injection in a health worker: case report.
abstract: We present a case of inoculation of the first dorsal web space by a nurse practitioner who accidentally stuck herself while preparing Bacilli Calmette-Guérin vaccine for treatment of bladder tumor. We report the evolution and management of this resistant chronic Mycobacterium infection that ultimately required use of a vacuum wound management system followed by a microvascular free tissue transfer.
authors.affiliation: Department of Orthopaedic Surgery, Mount Sinai Medical Center, New York, NY, USA. drvigler@gmail.com
authors.forename: Mordechai
authors.initials: M
authors.lastname: Vigler
authors.forename: Hanan
authors.initials: H
authors.lastname: Mulett
authors.forename: Michael R
authors.initials: MR
authors.lastname: Hausman
mesh_terms: D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D001500:BCG Vaccine / Q000009:adverse effects*; D002908:Chronic Disease; D024901:Drug Resistance, Multiple, Bacterial; D005260:Female; D006225:Hand / Q000382:microbiology*; D006801:Humans; D016602:Needlestick Injuries / Q000150:complications*; D054843:Negative-Pressure Wound Therapy; D009722:Nurse Practitioners; D018461:Soft Tissue Infections / Q000382:microbiology* / Q000628:therapy; D013524:Surgical Flaps; D014382:Tuberculosis, Cutaneous / Q000382:microbiology* / Q000628:therapy
chemical_list: D000995:Antitubercular Agents; D001500:BCG Vaccine