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Infection of finger caused by Morganella morganii leading to digital amputation: A case report

RATIONALE: Digital infection is a common disease in clinic, featured by pain and swelling of digits. As far as we know, no article has reported a case of digital infected by Morganella morganii. PATIENT CONCERNS: A 58-year-old Chinese female complains about whitlow with pain and swelling for 2 weeks...

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Autores principales: Li, Di, Gao, Wenshan, Niu, Yanan, Zhao, Pei, Zheng, Wenkui, Li, Cong Jie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6336642/
https://www.ncbi.nlm.nih.gov/pubmed/30633189
http://dx.doi.org/10.1097/MD.0000000000014002
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author Li, Di
Gao, Wenshan
Niu, Yanan
Zhao, Pei
Zheng, Wenkui
Li, Cong Jie
author_facet Li, Di
Gao, Wenshan
Niu, Yanan
Zhao, Pei
Zheng, Wenkui
Li, Cong Jie
author_sort Li, Di
collection PubMed
description RATIONALE: Digital infection is a common disease in clinic, featured by pain and swelling of digits. As far as we know, no article has reported a case of digital infected by Morganella morganii. PATIENT CONCERNS: A 58-year-old Chinese female complains about whitlow with pain and swelling for 2 weeks. She has a history of diabetes for 10 years. She received incision and drainage before coming to our hospital and preoperative X-ray of left ring finger presented no bone eroded. DIAGNOSIS: She is diagnosed with infection of ring finger caused by M morganii in our hospital. INTERVENTIONS: We perform aggressive operative debridement and drainage firstly. Meanwhile, we provide tissue samples for diagnosis and the result indicates M morganii infection. Then, she is treated with anti-infection therapy and regulation of diabetes. However, 1 week after first surgery, her condition deteriorate presenting bone erosion in distal phalanx of ring finger from X-ray. Considering severity of illness, we decide to perform digital amputation. OUTCOMES: At 3-month follow-up, the patient has a satisfactory result and X-ray shows no bone eroded. LESSONS: Clinicians should consider M morganii, which is rare in hand infection, as a cause of digital infection. This case reminds us that some whitlow is dangerous, amputation should be considered if necessary.
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spelling pubmed-63366422019-01-24 Infection of finger caused by Morganella morganii leading to digital amputation: A case report Li, Di Gao, Wenshan Niu, Yanan Zhao, Pei Zheng, Wenkui Li, Cong Jie Medicine (Baltimore) Research Article RATIONALE: Digital infection is a common disease in clinic, featured by pain and swelling of digits. As far as we know, no article has reported a case of digital infected by Morganella morganii. PATIENT CONCERNS: A 58-year-old Chinese female complains about whitlow with pain and swelling for 2 weeks. She has a history of diabetes for 10 years. She received incision and drainage before coming to our hospital and preoperative X-ray of left ring finger presented no bone eroded. DIAGNOSIS: She is diagnosed with infection of ring finger caused by M morganii in our hospital. INTERVENTIONS: We perform aggressive operative debridement and drainage firstly. Meanwhile, we provide tissue samples for diagnosis and the result indicates M morganii infection. Then, she is treated with anti-infection therapy and regulation of diabetes. However, 1 week after first surgery, her condition deteriorate presenting bone erosion in distal phalanx of ring finger from X-ray. Considering severity of illness, we decide to perform digital amputation. OUTCOMES: At 3-month follow-up, the patient has a satisfactory result and X-ray shows no bone eroded. LESSONS: Clinicians should consider M morganii, which is rare in hand infection, as a cause of digital infection. This case reminds us that some whitlow is dangerous, amputation should be considered if necessary. Wolters Kluwer Health 2019-01-11 /pmc/articles/PMC6336642/ /pubmed/30633189 http://dx.doi.org/10.1097/MD.0000000000014002 Text en Copyright © 2019 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc-nd/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0
spellingShingle Research Article
Li, Di
Gao, Wenshan
Niu, Yanan
Zhao, Pei
Zheng, Wenkui
Li, Cong Jie
Infection of finger caused by Morganella morganii leading to digital amputation: A case report
title Infection of finger caused by Morganella morganii leading to digital amputation: A case report
title_full Infection of finger caused by Morganella morganii leading to digital amputation: A case report
title_fullStr Infection of finger caused by Morganella morganii leading to digital amputation: A case report
title_full_unstemmed Infection of finger caused by Morganella morganii leading to digital amputation: A case report
title_short Infection of finger caused by Morganella morganii leading to digital amputation: A case report
title_sort infection of finger caused by morganella morganii leading to digital amputation: a case report
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6336642/
https://www.ncbi.nlm.nih.gov/pubmed/30633189
http://dx.doi.org/10.1097/MD.0000000000014002
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