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A Standardized Acupotomy Protocol For The Treatment of Tenosynovitis of Hand Flexor Tendons In Human Patients
Published on: May 26, 2026
Pyogenic flexor tenosynovitis associated with Cellulosimicrobium cellulans
Joseph D Tucker1, Rafael Montecino, Jonathan M Winograd
1Division of Infectious Diseases, Department of Medicine, Harvard Medical School, Boston, Massachusetts, USA. JTucker4@Partners.org.
Journal of Clinical Microbiology
|October 4, 2008
Summary
Cellulosimicrobium cellulans, a rare pathogen, can cause serious infections like tenosynovitis, even in healthy individuals. Early surgical and microbiological assessment is crucial for effective treatment of C. cellulans infections.
Area of Science:
- Microbiology
- Infectious Diseases
- Clinical Case Study
Background:
- Cellulosimicrobium cellulans (formerly Oerskovia xanthineolytica) is an infrequently identified bacterial pathogen.
- This microorganism is often implicated in infections related to the presence of foreign bodies.
- Human infections caused by C. cellulans are rare, necessitating further case documentation.
Observation:
- A case of pyogenic flexor tenosynovitis is presented.
- The infection was associated with Cellulosimicrobium cellulans.
- The affected individual was an immunocompetent young boy.
Findings:
- The study details a rare instance of C. cellulans causing tenosynovitis in an otherwise healthy child.
- Successful management likely depended on the promptness of interventions.
- This case highlights the pathogenic potential of C. cellulans even in non-compromised hosts.
Implications:
- This case underscores the importance of considering C. cellulans in the differential diagnosis of pyogenic infections, particularly with foreign bodies.
- Prompt surgical debridement and thorough microbiological evaluation are vital for favorable outcomes.
- Further research into C. cellulans pathogenesis and treatment strategies is warranted.
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