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[Gangrenous streptococcal cellulitis of the hand]
Annales De Chirurgie De La Main : Organe Officiel Des Societes De Chirurgie De La Main
|January 1, 1986
Summary
Severe streptococcal cellulitis of the hand can lead to gangrene, potentially requiring amputation. Early diagnosis and treatment, including antibiotics and surgery, are crucial for managing this serious infection.
Area of Science:
- Infectious Diseases
- Vascular Surgery
- Dermatology
Background:
- Streptococcal cellulitis is a common bacterial skin infection.
- Severe cases can progress to critical limb ischemia and necessitate surgical intervention.
Observation:
- Three cases of streptococcal hand cellulitis with subsequent gangrene are presented.
- Gangrene onset in these cases was linked to a dual mechanism.
Findings:
- The infection may induce vasculitis obliterans in regional vessels.
- Extensive edema and ecchymosis can cause segmental compression, contributing to gangrene.
Implications:
- Prompt surgical excision of the infection's entry point, appropriate antibiotherapy, and fasciotomy are vital.
- Understanding the pathophysiology aids in preventing severe outcomes like amputation.