Fishing-Injury-Related Flexor Tenosynovitis of the Hand: A Case Report and Review

Danny A. Young-Afat,Audene P. Garrison,John C. Oeltjen,Deniz Dayicioglu

doi:10.1155/2013/587176

Danny A. Young-Afat, Audene P. Garrison + Show 2 more

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https://doi.org/10.1155/2013/587176

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Abstract

Hand infections occurring after fishing and other marine-related activities may involve uncommon bacteria that are not susceptible to the conventional or empiric antibiotic therapy used to treat soft tissue infections. Therefore appropriate treatment is often delayed and could lead to severe hand damage. An illustrative case of fishing-related injury leading to complicated tenosynovitis and horseshoe abscess caused by Mycobacterium marinum and its treatment course is outlined. Laceration of the skin during boating is fairly common. Because of the rarity of some of the bacteria, referrals to the appropriate specialist including hand surgeons and infectious disease specialists should occur in early stages. M. marinum infections should always be considered in injuries related to seawater and fishing as this may lead to early appropriate treatment and prevent severe damage.

Highlights

An otherwise healthy 65-year-old right-hand-dominant man was referred with numbness in the median nerve distribution and tenosynovitis of the le small nger and thumb.e patient recalled a penetrating injury with a barnacle in the exor crease of his nondominant le -hand small nger 2 months prior to presentation. e initial laceration healed without any problems. e erythema persisted and the swelling did not resolve, limiting the range of motion in the small nger at the proximal interphalangeal joint level
An illustrative case of shing-related injury leading to complicated tenosynovitis and horseshoe abscess caused by Mycobacterium marinum and its treatment course is outlined
M. marinum infections should always be considered in injuries related to seawater and shing as this may lead to early appropriate treatment and prevent severe damage

Summary

Introduction

An otherwise healthy 65-year-old right-hand-dominant man was referred with numbness in the median nerve distribution and tenosynovitis of the le small nger and thumb.e patient recalled a penetrating injury with a barnacle in the exor crease of his nondominant le -hand small nger 2 months prior to presentation. e initial laceration healed without any problems. e erythema persisted and the swelling did not resolve, limiting the range of motion in the small nger at the proximal interphalangeal joint level. Hand infections occurring a er shing and other marine-related activities may involve uncommon bacteria that are not susceptible to the conventional or empiric antibiotic therapy used to treat so tissue infections. An illustrative case of shing-related injury leading to complicated tenosynovitis and horseshoe abscess caused by Mycobacterium marinum and its treatment course is outlined.

Results

Conclusion