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首页> 外文期刊>The Journal of hand surgery, European volume >Flexor tenosynovitis caused by Mycobacterium arupense
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Flexor tenosynovitis caused by Mycobacterium arupense

机译:强烈分枝杆菌引起的屈肌腱鞘炎

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Dear Sir, A 68-year-old man suffered from unexplained pain and slight swelling of the right index finger. He was generally healthy, except for the use of aspirin and antihypertensive drugs. Trigger finger was diagnosed and several intra-tenosynovial corticosteroid injections were given. However, this treatment failed to improve his symptoms and the redness and swelling increased. He presented to us 5 months after developing the condition. On examination, the entire right index finger appeared swollen, red, and tender. Laboratory examination revealed a normal white blood count of 4450/mul and C-reactive protein <0.1 mg/dl. However, cephem antibiotics were prescribed on suspicion of suppurative tenosynovitis. The swelling and redness worsened and extended to the palmar region, and surgical treatment was therefore scheduled.
机译:尊敬的先生,一位68岁的男子患有无法解释的疼痛,右手食指轻微肿胀。除了使用阿司匹林和降压药外,他总体上健康。诊断出扳机指,并进行了几次腱鞘内皮质类固醇注射。然而,这种治疗未能改善他的症状,并且发红和肿胀增加。病情发展了五个月后,他向我们求诊。检查时,整个右手食指肿胀,发红,触痛。实验室检查显示正常白血球计数为4450 / mul,C反应蛋白<0.1 mg / dl。但是,由于怀疑患有化脓性腱鞘炎,开了头孢类抗生素。肿胀和发红恶化并延伸至手掌区域,因此计划进行外科治疗。

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