An unusual cause of tenosynovitis by group B streptococcus in the immunocompromised patient: a case report
This case report describes a 49-year-old immunocompromised woman with tenosynovitis of the left middle finger caused by Group B Streptococcus (GBS). She claimed that a fishbone picked over her left middle finger. An orthopaedic surgeon operated for incision and drainage of pus discharge, wound debri...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Universiti Putra Malaysia Press
2022
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| Online Access: | http://psasir.upm.edu.my/id/eprint/98169/ http://psasir.upm.edu.my/id/eprint/98169/1/17%20JST-3378-2021.pdf |
| _version_ | 1848862796983304192 |
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| author | Muthanna, Abdulrahman Aziz, Nur Afiza Mohd Desa, Mohd Nasir Dzaraly, Nurul Diana Zainal Baharin, Nurul Hana Azmai, Mohammad Noor Amal Nordin, Syafinaz Amin |
| author_facet | Muthanna, Abdulrahman Aziz, Nur Afiza Mohd Desa, Mohd Nasir Dzaraly, Nurul Diana Zainal Baharin, Nurul Hana Azmai, Mohammad Noor Amal Nordin, Syafinaz Amin |
| author_sort | Muthanna, Abdulrahman |
| building | UPM Institutional Repository |
| collection | Online Access |
| description | This case report describes a 49-year-old immunocompromised woman with tenosynovitis of the left middle finger caused by Group B Streptococcus (GBS). She claimed that a fishbone picked over her left middle finger. An orthopaedic surgeon operated for incision and drainage of pus discharge, wound debridement of the left middle finger and A1 and A2 pulley release. Treatment was initiated with parenteral cefepime three times per day given the growth of mixed Enterobacter species on the culture media and continued with oral cefuroxime twice daily upon discharge for one week. Unfortunately, during the orthopaedic clinic follow-up, the wound was unclean with a slough and skin necrotic patch. Therefore, Ray’s amputation of the left middle finger proceeded. This case contributes to further investigation of the GBS tenosynovitis due to the rise in GBS invasive infections and shows the importance of early diagnosing and initiating treatment with antibiotics that are effective against this pathogen. |
| first_indexed | 2025-11-15T13:22:43Z |
| format | Article |
| id | upm-98169 |
| institution | Universiti Putra Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T13:22:43Z |
| publishDate | 2022 |
| publisher | Universiti Putra Malaysia Press |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | upm-981692022-08-13T00:45:01Z http://psasir.upm.edu.my/id/eprint/98169/ An unusual cause of tenosynovitis by group B streptococcus in the immunocompromised patient: a case report Muthanna, Abdulrahman Aziz, Nur Afiza Mohd Desa, Mohd Nasir Dzaraly, Nurul Diana Zainal Baharin, Nurul Hana Azmai, Mohammad Noor Amal Nordin, Syafinaz Amin This case report describes a 49-year-old immunocompromised woman with tenosynovitis of the left middle finger caused by Group B Streptococcus (GBS). She claimed that a fishbone picked over her left middle finger. An orthopaedic surgeon operated for incision and drainage of pus discharge, wound debridement of the left middle finger and A1 and A2 pulley release. Treatment was initiated with parenteral cefepime three times per day given the growth of mixed Enterobacter species on the culture media and continued with oral cefuroxime twice daily upon discharge for one week. Unfortunately, during the orthopaedic clinic follow-up, the wound was unclean with a slough and skin necrotic patch. Therefore, Ray’s amputation of the left middle finger proceeded. This case contributes to further investigation of the GBS tenosynovitis due to the rise in GBS invasive infections and shows the importance of early diagnosing and initiating treatment with antibiotics that are effective against this pathogen. Universiti Putra Malaysia Press 2022-07 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/98169/1/17%20JST-3378-2021.pdf Muthanna, Abdulrahman and Aziz, Nur Afiza and Mohd Desa, Mohd Nasir and Dzaraly, Nurul Diana and Zainal Baharin, Nurul Hana and Azmai, Mohammad Noor Amal and Nordin, Syafinaz Amin (2022) An unusual cause of tenosynovitis by group B streptococcus in the immunocompromised patient: a case report. Pertanika Journal of Science & Technology, 30 (3). pp. 2071-2076. ISSN 0128-7680; ESSN: 2231-8526 http://www.pertanika.upm.edu.my/pjst/browse/regular-issue?article=JST-3378-2021 10.47836/pjst.30.3.17 |
| spellingShingle | Muthanna, Abdulrahman Aziz, Nur Afiza Mohd Desa, Mohd Nasir Dzaraly, Nurul Diana Zainal Baharin, Nurul Hana Azmai, Mohammad Noor Amal Nordin, Syafinaz Amin An unusual cause of tenosynovitis by group B streptococcus in the immunocompromised patient: a case report |
| title | An unusual cause of tenosynovitis by group B streptococcus in the immunocompromised patient: a case report |
| title_full | An unusual cause of tenosynovitis by group B streptococcus in the immunocompromised patient: a case report |
| title_fullStr | An unusual cause of tenosynovitis by group B streptococcus in the immunocompromised patient: a case report |
| title_full_unstemmed | An unusual cause of tenosynovitis by group B streptococcus in the immunocompromised patient: a case report |
| title_short | An unusual cause of tenosynovitis by group B streptococcus in the immunocompromised patient: a case report |
| title_sort | unusual cause of tenosynovitis by group b streptococcus in the immunocompromised patient: a case report |
| url | http://psasir.upm.edu.my/id/eprint/98169/ http://psasir.upm.edu.my/id/eprint/98169/ http://psasir.upm.edu.my/id/eprint/98169/ http://psasir.upm.edu.my/id/eprint/98169/1/17%20JST-3378-2021.pdf |