Necrotizing Infections of the Hand and Wrist: Diagnosis and

J Am Acad Orthop Surg · Jan 2020

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Necrotizing Infections of the Hand and Wrist: Diagnosis and Treatment Options.

Necrotizing infections of the hand and wrist are important clinical entities because of their rapidly progressive and potentially lethal nature. These infections encompass a spectrum of diseases with overlapping signs and symptoms, which can be subtle and nonspecific. If the brief prodromal period of these infections goes unrecognized, a local area of devitalized tissue can evolve into fulminant infection, multiorgan failure, and potentially death. Early recognition and treatment including administration of broad-spectrum antibiotics and surgical débridement are paramount to improving patient outcomes.

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- Jack Choueka and Jadie E De Tolla.
- From the Department of Orthopaedic Surgery, Maimonides Medical Center, Brooklyn, NY.
- J Am Acad Orthop Surg. 2020 Jan 15; 28 (2): e55-e63.
AbstractNecrotizing infections of the hand and wrist are important clinical entities because of their rapidly progressive and potentially lethal nature. These infections encompass a spectrum of diseases with overlapping signs and symptoms, which can be subtle and nonspecific. If the brief prodromal period of these infections goes unrecognized, a local area of devitalized tissue can evolve into fulminant infection, multiorgan failure, and potentially death. Early recognition and treatment including administration of broad-spectrum antibiotics and surgical débridement are paramount to improving patient outcomes.

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Necrotizing Infections of the Hand and Wrist: Diagnosis and Treatment Options.

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