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Streptococcus gordonii finger infection: Case report and a review of the literature
Cheng-Wei Kang1, Xiao-Bing Pu1, Gang Tan1
1Department of Orthopedics, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China.
Rationale:
Streptococcus gordonii is a rare cause of finger suppurative infection. Very few cases have been reported of its treatment.
Patient Concerns:
A 68-year-old male of severe finger infection. Bacterial culture of synovial fluid revealed S gordonii.According to the patient's history and auxiliary examination, the patient was diagnosed with S gordonii infection. Here, we review the diagnosis and treatment of this patient and describe the clinical and epidemiological characteristics of the patient.
Diagnoses:
Streptococcus gordonii finger infection.Interventions: In the case of ineffective oral antibiotics, this patient chose to pursue an abscess incision, but in the course of treatment,the flexor digitorum tendon dissolved and eventually ruptured.
Outcomes:
The infection was controlled after intravenous injection of vancomycin. The incision was sutured 2 weeks later. No recurrence of infection was found after 3 months of follow-up.
Lessons:
The treatment included antibacterial and abscess treatments. In the absence of drug sensitivity results, antibiotics can be used empirically. If empirical anti-microbial treatment fails, the antibiotic regimen should be changed in a timely manner, Vancomycin may be an antibiotic choice.
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