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

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机构: [1]Hebei Univ, Dept Orthoped, Affiliated Hosp, Baoding, Peoples R China
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关键词: digit infection Morganella whitlow

摘要:
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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出版当年[2020]版:
大类 | 4 区 医学
小类 | 4 区 医学:内科
最新[2025]版:
大类 | 4 区 医学
小类 | 4 区 医学:内科
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出版当年[2019]版:
Q3 MEDICINE, GENERAL & INTERNAL
最新[2023]版:
Q2 MEDICINE, GENERAL & INTERNAL

影响因子: 最新[2023版] 最新五年平均 出版当年[2019版] 出版当年五年平均 出版前一年[2018版] 出版后一年[2020版]

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第一作者机构: [1]Hebei Univ, Dept Orthoped, Affiliated Hosp, Baoding, Peoples R China
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通讯机构: [1]Hebei Univ, Dept Orthoped, Affiliated Hosp, Baoding, Peoples R China [*1]Department of Orthopedics, Affiliated Hospital ofHebei University, Baoding, China
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