{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,16]],"date-time":"2024-09-16T16:43:57Z","timestamp":1726505037091},"reference-count":15,"publisher":"California Digital Library (CDL)","issue":"2","license":[{"start":{"date-parts":[[2020,3,27]],"date-time":"2020-03-27T00:00:00Z","timestamp":1585267200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Introduction: Pyogenic flexor tenosynovitis is an unusual complication of dyshidrotic eczema. The diagnosis has traditionally been made by Kanavel\u2019s signs. Point-of-care ultrasound can be a useful adjunct in the diagnosis of this surgical emergency. Case Report: We report the case of a 23-year-old male who presented with right middle finger pain and swelling and an overlying eczematous rash. The use of point-of-care ultrasound was performed to aid in the diagnosis of pyogenic flexor tenosynovitis. An incision and drainage was performed with deep wound cultures positive for Staphylococcus aureus. Discussion: The presentation of pyogenic flexor tenosynovitis with underlying concomitant dermatological disease can complicate this challenging diagnosis. Point-of-care ultrasound can be an effective adjunct in revealing pyogenic flexor tenosynovitis rather than relying solely on the classical Kanavel\u2019s signs, leading to earlier treatment. Conclusion: Our case demonstrates that point-of-care ultrasound can be a rapid and effective tool for the diagnosis of pyogenic flexor tenosynovitis in the setting of superimposed dermatological diseases.<\/jats:p>","DOI":"10.5811\/cpcem.2020.1.45414","type":"journal-article","created":{"date-parts":[[2020,5,5]],"date-time":"2020-05-05T22:21:27Z","timestamp":1588717287000},"page":"174-177","source":"Crossref","is-referenced-by-count":0,"title":["Pyogenic Flexor Tenosynovitis as a Rare Complication of Dyshidrotic Eczema"],"prefix":"10.5811","volume":"4","author":[{"given":"Waroot","family":"Nimjareansuk","sequence":"first","affiliation":[{"name":"Mount Sinai Medical Center, Department of Emergency Medicine, Miami Beach, Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Rosselli","sequence":"additional","affiliation":[{"name":"Mount Sinai Medical Center, Department of Emergency Medicine, Miami Beach, Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"29705","published-online":{"date-parts":[[2020,3,27]]},"reference":[{"key":"ref0","unstructured":"Kanavel A. (1912). Infection of the Hand. 1st ed. Philadelphia and New York: Lea and Febiger."},{"key":"ref1","doi-asserted-by":"crossref","unstructured":"Draeger RW and Bynum DK. Flexor tendon sheath infections of the hand. J Am Acad Orthop Surg. 2012;20(6):373-82.","DOI":"10.5435\/JAAOS-20-06-373"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"SanMiguel A and Grice EA. Interactions between host factors and the skin microbiome. Cell Mol Life Sci. 2015;72(8):1499-515.","DOI":"10.1007\/s00018-014-1812-z"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"Giladi AM, Malay S, Chung KC. Management of acute pyogenic flexor tenosynovitis: literature review and current trends. J Hand Surg Eur Vol. 2015;40(7):720-8.","DOI":"10.1177\/1753193415570248"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"Padrez K, Bress J, Johnson B, et al. Case report: bedside ultrasound identification of infectious flexor tenosynovitis in the emergency department. West J Emerg Med. 2015;16(2):260-2.","DOI":"10.5811\/westjem.2015.1.24474"},{"key":"ref5","doi-asserted-by":"publisher","unstructured":"Dailiana ZH, Rigopoulos N, Varitimidis S, et al. Purulent flexor tenosynovitis: factors influencing the functional outcome. J Hand Surg Eur Vol. 2008;33(3):280-5.","DOI":"10.1177\/1753193408087071"},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"Pang HN, Teoh LC, Yam AK, et al. Factors affecting the prognosis of pyogenic flexor tenosynovitis. J Bone Joint Surg Am. 2007;89(8):1742-8.","DOI":"10.2106\/jbjs.f.01356"},{"key":"ref7","unstructured":"Neviaser RJ and Gunther SF. Tenosynovial infections in the hand: diagnosis and management. Instr Course Lect. 1980;29:108-28."},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"Kennedy CD, Huang JI, Hanel DP. In brief: Kanavel\u2019s signs and pyogenic flexor tenosynovitis. Clin Orthop Relat Res. 2016;474(1):280-4.","DOI":"10.1007\/s11999-015-4367-x"},{"key":"ref9","doi-asserted-by":"crossref","unstructured":"Wollina U. Pompholyx: A review of clinical features, differential diagnosis, and management. Am J Clin Dermatol. 2010;11(5):305-14.","DOI":"10.2165\/11533250-000000000-00000"},{"key":"ref10","doi-asserted-by":"publisher","unstructured":"Bianchi S, Martinoli C, de Gautard R, et al. Ultrasound of the digital flexor system: normal and pathological findings. J Ultrasound. 2007;10(2):85-92.","DOI":"10.1016\/j.jus.2007.03.002"},{"key":"ref11","doi-asserted-by":"crossref","unstructured":"Boles SD and Schmidt CC. Pyogenic flexor tenosynovitis. Hand Clin. 1998;14(4):567-78.","DOI":"10.1016\/S0749-0712(21)00418-2"},{"key":"ref12","doi-asserted-by":"crossref","unstructured":"Jeffrey RB Jr, Lain FC, Schecter WP, et al. Acute suppurative tenosynovitis of the hand: diagnosis with US. Radiology. 1987;162(3):741-2.","DOI":"10.1148\/radiology.162.3.3544036"},{"key":"ref13","doi-asserted-by":"crossref","unstructured":"Schecter WP, Markison RE, Jeffrey RB, et al. Use of sonography in the early detection of suppurative flexor tenosynovitis. J Hand Surg Am. 1989;14(2 Pt 1);307-10.","DOI":"10.1016\/0363-5023(89)90027-0"},{"key":"ref14","doi-asserted-by":"publisher","unstructured":"Jardin E, Delord M, Aubry S, et al. Usefulness of ultrasound for the diagnosis of pyogenic flexor tenosynovitis: a prospective single-center study of 57 cases. Hand Surg Rehabil. 2018;37(2):95-8.","DOI":"10.1016\/j.hansur.2017.12.004"}],"container-title":["Clinical Practice and Cases in Emergency Medicine"],"original-title":[],"deposited":{"date-parts":[[2022,10,23]],"date-time":"2022-10-23T04:13:00Z","timestamp":1666498380000},"score":1,"resource":{"primary":{"URL":"https:\/\/escholarship.org\/uc\/item\/2z90f2dk"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,3,27]]},"references-count":15,"issue-title":["Clinical Practice and Cases in Emergency Medicine"],"journal-issue":{"issue":"2","published-online":{"date-parts":[[2020,4,1]]}},"URL":"https:\/\/doi.org\/10.5811\/cpcem.2020.1.45414","relation":{},"ISSN":["2474-252X","2474-252X"],"issn-type":[{"type":"electronic","value":"2474-252X"},{"type":"print","value":"2474-252X"}],"subject":[],"published":{"date-parts":[[2020,3,27]]}}}