Document Detail

A chronic nocardial infection following conservative treatment of a high pressure injection injury of air.
MedLine Citation:
PMID:  16568523     Owner:  NLM     Status:  MEDLINE    
We present a case of recurrent cutaneous nocardiosis following a high pressure air injection injury which was treated conservatively. The patient subsequently developed multiple chronic granulomatous nodules in the palm and dorsum of the hand requiring repeated surgical debridements and long term antibiotics for complete resolution. Some reports suggest that high pressure injection injuries of air or water run a benign course and may be treated conservatively. However, inoculation by high pressure injection injury of air or water may result in chronic infections, which cause significant morbidity and are a therapeutic challenge. Although uncommon, they may be avoided by adherence to established treatment principles which include prompt recognition, realisation of its severity and aggressive treatment by open wound management, even for seemingly innocuous trauma or inoculum.
J Y L Lee; F C Yong
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Hand surgery : an international journal devoted to hand and upper limb surgery and related research : journal of the Asia-Pacific Federation of Societies for Surgery of the Hand     Volume:  10     ISSN:  0218-8104     ISO Abbreviation:  Hand Surg     Publication Date:  2005  
Date Detail:
Created Date:  2006-03-28     Completed Date:  2006-06-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9602613     Medline TA:  Hand Surg     Country:  Singapore    
Other Details:
Languages:  eng     Pagination:  255-9     Citation Subset:  IM    
Department of Hand Surgery, Singapore General Hospital, Singapore 169608, Singapore.
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MeSH Terms
Accidents, Occupational
Anti-Bacterial Agents / administration & dosage
Chronic Disease
Nocardia Infections / etiology*,  radiography,  therapy
Subcutaneous Emphysema / etiology,  microbiology*,  radiography
Wounds, Penetrating / complications*,  drug therapy,  microbiology
Reg. No./Substance:
0/Anti-Bacterial Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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