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Polymicrobial pyogenic flexor tenosynovitis of the index finger and first ray resulting from autophagia

Andrew P Harris1, Joey Johnson1, Augusta Kluk1

  • 1Department of Orthopaedics,Alpert Medical School of Brown University, Providence, RI, United States.

Journal of Orthopaedics
|July 21, 2017
PubMed

Insights

Pyogenic flexor tenosynovitis (PFT) is a hand infection. This case highlights PFT caused by self-cannibalism (autophagia), successfully treated with surgery and antibiotics.

Area of Science:

  • Hand surgery
  • Infectious diseases
  • Orthopedics

Background:

  • Pyogenic flexor tenosynovitis (PFT) is a serious hand infection.
  • Common causes include puncture wounds and deep lacerations.
  • PFT requires prompt diagnosis and treatment to prevent complications.

Purpose of the Study:

  • To report a rare case of PFT resulting from autophagia.
  • To discuss the successful management of this unusual PFT case.
  • To raise awareness of autophagia as a potential cause of PFT.

Main Methods:

  • Case report of a 50-year-old female with PFT.
  • Surgical intervention including irrigation and debridement.
  • Amputation of the index finger and antibiotic therapy.

Main Results:

  • Successful treatment of PFT in the reported case.
  • Resolution of infection and preservation of hand function.
  • Demonstration of effective management for this rare etiology.

Conclusions:

  • Autophagia is an uncommon but possible cause of PFT.
  • Prompt surgical intervention and antibiotic therapy are crucial for successful outcomes.
  • Early recognition and management are vital for preventing severe morbidity.
Keywords:
AutophagiaBiteDigitFingerFlexorInfectionPFTPolymicrobialSheathTenosynovitis

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