Tubercolosi primaria tenosinoviale e dei tessuti molli da inoculazione in un chirurgo

Filippo Lipani, Francesca Canta, Sinibaldo Carosella, Rosalia Marrone, Lucio Boglione, Claudia Sacchi, Pietro Caramello

Risultato della ricerca: Contributo su rivistaArticolo in rivistapeer review

Abstract

We describe the case of a surgeon, who pricked himself with a needle used to drain a paravertebral abscess in a patient from Sudan. He lost this patient at follow up. Six weeks later, the surgeon developed oedema of his left hand and wrist. He started antibiotics, amoxicillin/clavulanate plus ciprofloxacin 2 weeks, without any improvement. He came to our centre for examination, and by chance his patient had been admitted to our ward the day before, and had died during the night of disseminated tuberculosis. The surgeon was treated with rifampin, isoniazid and pyrazinamide (3 drugs 2 months, followed by rifampin plus isoniazid for further 7 months) with rapid improvement. He could start his job again after 5 months. To our knowledge, this is the first case of inoculation tuberculosis transmitted to a surgeon, while other cases in health care workers (internists, pathologists, nurses...) have already been well described.

Titolo tradotto del contributoPrimary soft tissue and tenosynovial tuberculosis after needlestick injury in a surgeon
Lingua originaleItalian
pagine (da-a)33-36
Numero di pagine4
RivistaInfezioni in Medicina
Volume16
Numero di pubblicazione1
Stato di pubblicazionePubblicato - mar 2008
Pubblicato esternamente

Keywords

  • Health care workers
  • Needlestick
  • Tuberculosis

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