المؤلفون: Weber, Emmanuelle, Gagneux-Brunon, Amandine, Jacomo, V., Rousselon, Thibault, Lucht, Frederic, Botelho-Nevers, Elisabeth

المصدر: Infection; Jun2015, Vol. 43 Issue 3, p261-266, 6p, 1 Color Photograph, 1 Chart

مصطلحات موضوعية: TENOSYNOVITIS, TUBERCULOSIS diagnosis, ANTITUBERCULAR agents, CHRONIC diseases, MYCOBACTERIUM tuberculosis, WRIST, PHARMACODYNAMICS, OLD age, DIAGNOSIS

مستخلص: Purpose: Clinical presentation of tuberculosis is pleomorphic. Some forms are rare and better known by surgeons than infectious disease specialists. Methods: We describe a rare case of isolated chronic tenosynovitis of the wrist due to Mycobacterium tuberculosis in a 66-year-old man and review similar cases in the literature. Results: On literature search, only 23 other cases of tuberculous tenosynovitis were retrieved. Our case is similar, with an insidious classical presentation. The diagnosis was suggested at the surgical presentation by the presence of rice body masses. Conclusion: The diagnosis of tuberculous tenosynovitis should be considered in chronic tenosynovitis. Functional prognosis may be committed without adequate treatment. [ABSTRACT FROM AUTHOR]

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المؤلفون: Durand, François, Berthelot, Philippe, Cazorla, Celine, Farizon, Frederic, Lucht, Frederic

المصدر: International Orthopaedics; Apr2013, Vol. 37 Issue 4, p723-727, 5p

مصطلحات موضوعية: SMOKING, SURGICAL site, ORTHOPEDIC surgery, ORTHOPEDIC implants, SURGICAL complications

مستخلص: Purpose: In recent guidelines, smoking is reported as a factor increasing the risk of surgical site infection (SSI). The accurate analysis of the literature shows that this recommendation relies on low level of evidence in orthopaedic surgery with material implantation (arthroplasty components or implants for internal fixation). This study aimed to assess the attributable risk of smoking on organ/space SSI in orthopaedic surgery with implants. Methods: Risk factors of organ/space SSI were studied in a prospective cohort including 3,908 patients from June 2003 to December 2006. Results: Smoking was found as a significant risk factor for organ/space SSI. We also observed a significant difference between smokers and non-smokers for surgical wound complications (hematoma, discharge or wound dehiscence) during the period between surgical procedure and discharge from hospital. Conclusion: This is the first large prospective report of a significant association between smoking and organ/space SSI in orthopaedic surgery with implants. [ABSTRACT FROM AUTHOR]

: Copyright of International Orthopaedics is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)