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The seal finger: an unusual case of monoarticular sepsis
The Journal of Rheumatology
|June 1, 1986
Abstract:
We describe a case of monoarthritis in an Inuit seal hunter which progressed to joint destruction of the distal interphalangeal joint despite early and aggressive sequential antibiotic therapy with ampicillin, cloxacillin and penicillin G. In retrospect, had the entity of seal finger been diagnosed at the onset, appropriate antibiotic therapy with tetracycline may have prevented permanent joint damage.
Insights
Seal finger, a type of monoarthritis, can cause severe joint destruction. Early diagnosis and specific antibiotic treatment, such as tetracycline, are crucial to prevent permanent joint damage in seal hunters.
Area of Science:
- Infectious Diseases
- Rheumatology
- Dermatology
Background:
- Monoarthritis can lead to significant joint damage if not treated promptly.
- Seal finger is a specific occupational hazard for individuals handling seals.
Observation:
- A case of monoarthritis in an Inuit seal hunter affected the distal interphalangeal joint.
- Despite initial broad-spectrum antibiotic treatment (ampicillin, cloxacillin, penicillin G), joint destruction occurred.
Findings:
- The monoarthritis progressed to severe joint destruction.
- Delayed diagnosis of seal finger contributed to treatment failure.
Implications:
- Prompt diagnosis of seal finger is critical for effective treatment.
- Tetracycline is the recommended antibiotic for seal finger to prevent joint damage.
- This case highlights the importance of considering specific occupational infections in differential diagnoses.