TY - A2的娃,约翰内斯盟——Brkljac米洛斯岛盟——比沉着的AU - Naqui征服者PY - 2014 DA - 2014/11/04 TI -疱疹性瘭疽积极的Kanavel病例报告的红衣主教的迹象:诊断和治疗困难SP - 906487六世- 2014 AB -疱疹性瘭疽造成的手是一种急性病毒性感染单纯疱疹病毒(HSV) 1或2。其特点发现显著的疼痛和红斑与上覆nonpurulent囊泡。鉴别诊断包括屈肌腱鞘炎。我们提出一个病例复发感染的中指的免疫活性的19岁的女孩。多痛苦的脓疱和跟踪蜂窝织炎部分由口服抗生素治疗。复发与积极Kanavel迹象表明屈肌腱鞘炎在七个月。她的症状改善是暂时性的紧急手术后打开屈肌鞘勘探和冲刷然而,她需要两个进一步褪色;11和13个月来改善症状。病毒文化得到从第三冲刷HSV感染披露进一步的历史。有这些都是积极的。 Treatment with acyclovir at thirteen months after presentation led to a complete resolution of her symptoms with no further recurrences to date. This rare case highlights the similarity in presentation between flexor sheath infection and herpetic whitlow which can lead to diagnostic confusion and mismanagement. We emphasise the importance of careful past medical history taking as well as considering herpetic whitlow as a differential diagnosis despite the presence of strongly positive Kanavel’s signs. SN - 2090-6749 UR - https://doi.org/10.1155/2014/906487 DO - 10.1155/2014/906487 JF - Case Reports in Orthopedics PB - Hindawi Publishing Corporation KW - ER -