Article
Novel Infection Status Post Electrocution Requiring a 4th Ray Amputation
West Florida Division GME Research Day 2020
Division
West Florida
Hospital
Largo Medical Center
Specialty
Orthopedic Surgery
Document Type
Poster
Publication Date
5-1-2020
Keywords
- Prevotella Biva,
- Prevotella Sp.,
- Osteomyelitis,
- Tenosynovitis,
- Amputation,
- Infection
Disciplines
Abstract
- Prevotella bivia is an anaerobic, non-pigmented, Gram-negative bacillus species that is known to inhabit the human female vaginal tract and oral flora. It is most commonly associated with endometritis and pelvic inflammatory disease.1, 2
- Rarely, P. bivia has been found in the nail bed, chest wall, intervertebral discs, and hip and knee joints.1 The bacteria has been linked to necrotizing fasciitis, osteomyelitis, or septic arthritis.3, 4
- Only 3 other reports have described P. bivia infections in the upper extremity with one patient requiring amputation2, and one with deep soft tissue infection requiring multiple debridements and extensive tenosynovectomy.5
- Delays in diagnosis are common due to P. bivia’s long incubation period and association with aerobic organisms that more commonly cause soft tissue infections leading to inappropriate antibiotic coverage.
- Here we present a case on P. bivia that resulted in extensive tenosynovectomy, multiple irrigations and debridements and eventually amputation of the 4th ray and digit of the hand.
Citation Information
William R. Judson, John D Murphy, Phillip H. Sussman and John N. Harker. "Novel Infection Status Post Electrocution Requiring a 4th Ray Amputation" (2020) Available at: http://works.bepress.com/john-harker/1/