Pyogenic Flexor Tenosynovitis Caused by Shewanella algae

Erin C. Fluke, Nikoletta L. Carayannopoulos, Ronald Lindsey

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Pyogenic flexor tenosynovitis is an orthopedic emergency most commonly caused by Staphylococcus aureus and streptococci and occasionally, when associated with water exposure, Mycobacterium marinum. Shewanella algae, a gram-negative bacillus found in warm saltwater environments, has infrequently been reported to cause serious soft tissue infections and necrosis. In this case, S. algae caused complicated flexor tenosynovitis requiring open surgical irrigation and debridement. Flexor tenosynovitis caused by S. algae rapidly presented with all 4 Kanavel cardinal signs as well as subcutaneous purulence, ischemia, and necrosis, thus meeting the requirements for Pang et al group III classification of worst prognosis. Because of its rarity and virulence, S. algae should always be considered in cases of flexor tenosynovitis associated with traumatic water exposure to treat and minimize morbidity appropriately.

Original languageEnglish (US)
JournalJournal of Hand Surgery
DOIs
StateAccepted/In press - Jan 7 2016

Fingerprint

Shewanella
Tenosynovitis
Necrosis
Mycobacterium marinum
Soft Tissue Infections
Group Processes
Water
Debridement
Streptococcus
Bacillus
Orthopedics
Virulence
Staphylococcus aureus
Emergencies
Ischemia
Morbidity

Keywords

  • Flexor tenosynovitis
  • Shewanella algae
  • Tendon sheath infection

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Cite this

Pyogenic Flexor Tenosynovitis Caused by Shewanella algae. / Fluke, Erin C.; Carayannopoulos, Nikoletta L.; Lindsey, Ronald.

In: Journal of Hand Surgery, 07.01.2016.

Research output: Contribution to journalArticle

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