Acute mycobacterial flexor tenosynovitis following accidental bacillus calmette-guerin inoculation in a health care worker: case report. 

 -  2013 
<br/><br/>Available in print through MWHC library: 1999 - 2002, Available online from MWHC library: 1995 - present 
<br/><br/> Solutions containing bacillus Calmette-Guerin (BCG), a live attenuated form of Mycobacterium bovis or Mycobacterium tuberculosis, commonly are injected intravesically to treat tumors of the urinary bladder. We report a case of acute mycobacterial flexor tenosynovitis in a health care worker who inadvertently inoculated her finger via needlestick while preparing BCG solution for intravesicular administration. She was treated successfully with immediate operative intervention followed by 6 months of antimycobacterial antibiotics. Of 3 previous reports of hand infections following self-inoculation with BCG solutions, this case is unique owing to rapid onset of acute mycobacterial flexor tenosynovitis and positive intraoperative mycobacterial cultures. Needlesticks with BCG-containing solutions, especially into the flexor tendon sheath, should be treated with timely surgical debridement and appropriate antimycobacterial management.Copyright © 2013 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved. 
<br/><br/><br/>English 
<br/><br/><label>ISSN: </label>0363-5023 
<br/><br/><label>Subjects--Topical Terms: </label><br/>*BCG Vaccine/ad [Administration & Dosage]<br/>*BCG Vaccine/ae [Adverse Effects]<br/>*Finger Injuries/co [Complications]<br/>*Mycobacterium bovis<br/>*Mycobacterium Infections/di [Diagnosis]<br/>*Needlestick Injuries/co [Complications]<br/>*Occupational Diseases/di [Diagnosis]<br/>*Tenosynovitis/di [Diagnosis]<br/>Acute Disease<br/>Administration, Intravesical<br/>Adult<br/>Antitubercular Agents/tu [Therapeutic Use]<br/>Combined Modality Therapy<br/>Female<br/>Finger Injuries/di [Diagnosis]<br/>Finger Injuries/su [Surgery]<br/>Humans<br/>Mycobacterium Infections/su [Surgery]<br/>Needlestick Injuries/di [Diagnosis]<br/>Needlestick Injuries/su [Surgery]<br/>Occupational Diseases/su [Surgery]<br/>Postoperative Care<br/>Tendons/su [Surgery]<br/>Tenosynovitis/su [Surgery]
<br/><br/><label>Subjects--Geographic Terms: </label><br/>Curtis National Hand Center
<br/><br/><label>Index Terms--Function: </label><br/>Case Reports<br/>Journal Article