Characteristics of Deep Chronic Hand Infections Caused by Mycobacterium Marinum and Treatment
Objective To summarize the experience of deep hand tissue infection by Mycobacterium marinum caused by fish stab wounds,and to summarize the injury characteristics,treatment principles,related anatomy and treatment points.Methods The clinical data of 13 patients with hand trauma caused by marine fish admitted to our hospital from January 2015 to January 2022 were retrospectively analyzed.There were 9 males and 4 females,aged(44.32±5.66)years old(33-56 years old).The American Society for Surgery of the Hand total active movement(TAM),visual analogue scale(VAS)scores,Swanson Hand Function Assessment Criteria and Gartland-Werley Wrist Score Criteria before and after treatment were used to analyze the surgical efficacy and summarize the related experience.Results All 13 patients were followed up from 6 to 46 months,with a mean of(22.92±13.33)months.Based on the TAM,7 cases obtained excellent outcome and 6 cases good outcome,with an excellent and good rate of 100％,which was significantly improved as compared with the preoperative period(P＜0.001);the postoperative VAS score(0.92±0.95)was significantly relieved as compared with the preoperative period(4.54±0.88,P＜0.001).Swanson Hand Function Assessment Criteria showed excellent results in 6 cases and good results in 7 cases,with an excellent and good rate of 100％.Compared with preoperative results,the finger function was improved significantly postoperation(P＜0.001).Three patients with wrist involvement were evaluated for wrist function using the Gartland-Werley Wrist Score Criteria,all of which obtained excellent results and symptoms were relieved.Conclusion Deep hand infections caused by Mycobacterium marinum are rare and difficult to diagnose,but they can be treated well with timely debridement and appropriate medication.
万方数据
维普
