title: Iatrogenic Mycobacterium abscessus infection in a trigger finger.
abstract: An immunocompetent 63-year-old lady developed Mycobacterium abscessus soft tissue infection of the hand following local corticosteroid injection for trigger finger. The patient was successfully treated with repeated radical debridement and prolonged antimicrobial therapy. Atypical mycobacterial infections, including those caused by M. abscessus, albeit rare, should be considered in cases of late-onset indolent infection following local injury surgical procedures, and injections. Clinical vigilance, timely diagnosis, combined directed antimicrobial treatment, coupled with adequate surgical debridement are key for successful management.
authors.affiliation: Hand Surgery Specialist, Hand Surgery Unit, Rambam Health Care Campus, Haifa, Israel. Electronic address: edikal@hotmail.com.
authors.forename: Edward
authors.initials: E
authors.lastname: Calif
authors.affiliation: Specialist in Infectious Diseases, Unit of Infectious Diseases, Rambam Health Care Campus, Haifa, Israel.
authors.forename: Ami
authors.initials: A
authors.lastname: Neuberger
authors.affiliation: Hand Surgery Specialist, Hand Surgery Unit, Rambam Health Care Campus, Haifa, Israel.
authors.forename: Shalom
authors.initials: S
authors.lastname: Stahl
mesh_terms: D000305:Adrenal Cortex Hormones / Q000627:therapeutic use*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003646:Debridement; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D007121:Immunocompetence; D007267:Injections / Q000009:adverse effects*; D008875:Middle Aged; D009165:Mycobacterium Infections, Nontuberculous / Q000209:etiology* / Q000628:therapy; D018461:Soft Tissue Infections / Q000209:etiology* / Q000628:therapy; D052582:Trigger Finger Disorder / Q000188:drug therapy*
chemical_list: D000305:Adrenal Cortex Hormones; D000900:Anti-Bacterial Agents
keywords: Corticosteroid injection; Hand; Incision; Mycobacterium abscessus; Trigger finger