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HAND
Published in: HAND 1/2013

01-03-2013 | Case Reports

Clostridium perfringens infection following carpal tunnel release

Authors: Chase A. Tobin, James R. Sanger

Published in: HAND | Issue 1/2013

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Excerpt

Carpal tunnel syndrome is the most common compression neuropathy in the extremities. Surgical decompression or carpal tunnel release is effective in over 90 % of cases. Complications are unusual, and infection is very rare, occurring in less than 0.5 % [2, 3]. When infection occurs, Staphylococcus aureus is the most commonly recovered organism [4]. We report a case of postoperative infection caused by Clostridium perfringens following carpal tunnel release. To our knowledge, this is the first confirmed C. perfringens infection following routine open carpal tunnel release. …
Literature
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Hanssen AD, Amadio PC, DeSilva SP, Ilstrup DM. Deep postoperative wound infection after carpal tunnel release. J Hand Surg. 1989;14A:869–73.
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Harness NG, Inacio MC, Pfeil FF, Paxton LW. Rate of infection after carpal tunnel release surgery and effect of antibiotic prophylaxis. J Hand Surg. 2010;35A:189–96.
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Houshian S, Seyedipour S, Wedderkopp N. Epidemiology of bacterial hand infections. Int J Infect Dis. 2006;10:315–9.PubMedCrossRef
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Ito M, Takahashi N, Saitoh H, et al. Successful treatment of necrotizing fasciitis in an upper extremity caused by Clostridium perfringens after bone marrow transplantation. Intern Med. 2011;50(19):2213–7.PubMedCrossRef
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Kuroda S, Okada Y, Mita M, et al. Fulminant massive gas gangrene caused by Clostridium perfringens. Intern Med. 2005;44:499–502.PubMedCrossRef
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Shapiro B, Rohman M, Cooper P. Clostridial infection following abdominal surgery. Ann Surg. 1963;158:27–30.PubMedCrossRef
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van der Molen AB, Birndorf M, Dzwierzynski WW, Sanger JR. Subcutaneous tissue emphysema of the hand secondary to noninfectious etiology: a report of two cases. J Hand Surg. 1999;24A:638–41.CrossRef
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Metadata
Title
Clostridium perfringens infection following carpal tunnel release
Authors
Chase A. Tobin
James R. Sanger
Publication date
01-03-2013
Publisher
Springer-Verlag
Published in
HAND / Issue 1/2013
Print ISSN: 1558-9447
Electronic ISSN: 1558-9455
DOI
https://doi.org/10.1007/s11552-012-9475-4

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