TY  - BOOK
AU  - Douglas, Keith C
AU  - Higgins, James P
AU  - Mundinger, Gerhard S
TI  - Acute mycobacterial flexor tenosynovitis following accidental bacillus calmette-guerin inoculation in a health care worker: case report
SN  - 0363-5023
PY  - 2013///
KW  - *BCG Vaccine/ad [Administration & Dosage]
KW  - *BCG Vaccine/ae [Adverse Effects]
KW  - *Finger Injuries/co [Complications]
KW  - *Mycobacterium bovis
KW  - *Mycobacterium Infections/di [Diagnosis]
KW  - *Needlestick Injuries/co [Complications]
KW  - *Occupational Diseases/di [Diagnosis]
KW  - *Tenosynovitis/di [Diagnosis]
KW  - Acute Disease
KW  - Administration, Intravesical
KW  - Adult
KW  - Antitubercular Agents/tu [Therapeutic Use]
KW  - Combined Modality Therapy
KW  - Female
KW  - Finger Injuries/di [Diagnosis]
KW  - Finger Injuries/su [Surgery]
KW  - Humans
KW  - Mycobacterium Infections/su [Surgery]
KW  - Needlestick Injuries/di [Diagnosis]
KW  - Needlestick Injuries/su [Surgery]
KW  - Occupational Diseases/su [Surgery]
KW  - Postoperative Care
KW  - Tendons/su [Surgery]
KW  - Tenosynovitis/su [Surgery]
KW  - Curtis National Hand Center
KW  - Case Reports
KW  - Journal Article
N1  - Available in print through MWHC library: 1999 - 2002, Available online from MWHC library: 1995 - present
N2  - 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
UR  - http://dx.doi.org/10.1016/j.jhsa.2012.11.011
ER  -