Abstract
Since the first description by Hyde in 1883,1 the pathogenesis and clinical features of digital mucous (DM) cysts, as well as treatment options, have been well described in the literature.2 Complications associated with surgical treatment include cyst recurrence, loss of range of motion of the distal interphalangeal (DIP) joint, joint stiffness, post-surgical infection and nail dystrophies.3 Digital mucous cyst infection prior to treatment is not well documented. This report describes a complicated case of a DM cyst infection upon presentation with subsequent development of DIP joint septic arthritis, bacteremia and thoracic spinal osteomyelitis.
Highlights
Since the first description by Hyde in 1883,1 the pathogenesis and clinical features of digital mucous (DM) cysts, as well as treatment options, have been well described in the literature.[2]
Infection is a well-documented complication following the excision of DM cysts[4] but there are few reports of mucous cyst infection occurring prior to treatment
Bourns and Sanerkin studied a series of 20 patients with DM cysts,[6] only one of which was noted to have presented with an infection after the DM cyst had spontaneously ruptured
Summary
Address: Department of Plastic and Reconstructive Surgery Flinders Medical Centre Flinders Drive Bedford Park, South Australia, 5041 AUSTRALIA
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