Kang CW, Pu XB, Tan G, Dong CC, Yan ZK, Wu LX. Streptococcus gordonii finger infection: Case report and a review of the literature.
Medicine (Baltimore) 2022;
101:e32506. [PMID:
36595860 PMCID:
PMC9794357 DOI:
10.1097/md.0000000000032506]
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Abstract
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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