Mycobacterium Avium Infection Involving Skin and Soft Tissue of the Hand Treated by Radical Debridement and Reconstruction in Addition to Multidrug Chemotherapy

Abstract

with the tip of the catheter being close to the median nerve (Fig 1). In the postoperative period, ropivacaine 2 mg/ml in a 200 ml bag with a continuous outflow of 5 ml/h (10 mg/h), bolus 5 ml (10 mg) and lock out period 60 min, is delivered by an electronic pump for 3 days. Should the analgesia be inadequate, the patient is allowed to deliver additional boluses. Adequate placement of the catheter is confirmed if the patient reports paraesthesiae in the median and radial nerve territories, once the brachial block has resolved. The advantage of this procedure is to achieve analgesia in two different nerve territories by means of a single catheter.

Septic Mycobacterium Avium Intracellulare Extensor Tenosynovitis of the Wrist

“…8 29 30 31 Surgical debridement was performed on 39 of 42 cases found in the literature. 1 2 3 4 5 7 8 9 10 11 12 13 14 16 17 18 19 20 21 22 23 24 25 26 27 28 Thirty-four patients needed a combination of surgical debridement and antibiotics. 1 2 3 4 7 8 9 10 11 12 13 14 16 17 18 20 21 22 24 25 26 27 28 There were only five cases in which the infection was successfully treated only with debridement 5 19 22 23 26 and only two cases in which antibacterial therapy alone was able to eradicate the infection.…”

“…1 2 3 4 5 7 8 9 10 11 12 13 14 16 17 18 19 20 21 22 23 24 25 26 27 28 Thirty-four patients needed a combination of surgical debridement and antibiotics. 1 2 3 4 7 8 9 10 11 12 13 14 16 17 18 20 21 22 24 25 26 27 28 There were only five cases in which the infection was successfully treated only with debridement 5 19 22 23 26 and only two cases in which antibacterial therapy alone was able to eradicate the infection. 6 15 Thus, it appears prudent to apply both surgical debridement and antibiotic therapy in the treatment of infection with MAI; the use of both surgical debridement and antibiotic therapy was effective in the present case.…”

“…8,[29][30][31] Surgical debridement was performed on 39 of 42 cases found in the literature. [1][2][3][4][5][7][8][9][10][11][12][13][14][16][17][18][19][20][21][22][23][24][25][26][27][28] Thirty-four patients needed a combination of surgical debridement and antibiotics. [1][2][3][4][7][8][9][10][11][12][13][14][16][17][18][20][21][22][24][25][26][27]…”

“…[1][2][3][4][5][7][8][9][10][11][12][13][14][16][17][18][19][20][21][22][23][24][25][26][27][28] Thirty-four patients needed a combination of surgical debridement and antibiotics. [1][2][3][4][7][8][9][10][11][12][13][14][16][17][18][20][21][22][24][25][26][27][28] There were only five cases in which the infection was successfully treated only with debridement 5,19,…”

“…However, MAI can also be found in immunocompetent hosts. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16] The organism can exist in various media, including soil and aerosolized water; birds and farm animals are the most common hosts. Tenosynovial infections of MAI of the hand and wrist have been rarely reported, but they can occur through direct inoculation or disseminated pulmonary disease.…”