In this paper it is my purpose to consider only those cases of septi.c~emia accompanied by hmmorrhages into the skin, the serous membranes, and usually into the liver, spleen, kidney, heart, stomach and intestines in which capsulated bacilli have been found as the only, or, at least, the most numerous and important micro-organisms present. These restrictions remove from our consideration cases ...

In 1897 de Quervain, who was then assistant to Kocher, first described the lesion at the wrist joint which now bears his name : “ It appeared that the complaints were due to localised thickening of the tendon sheaths formed by the fibres of the dorsal carpal ligament and that the functional disorder was caused by increased friction at that point.” It is extraordinary that half a century later w...

cornelia de lange syndrome (cdls) is a rare syndrome characterized by multiple congenital anomalies, mental retardation, characteristic facial appearance, developmental delay, skeletal malformation, hirsutism, and various cardiac and ophthalmological problems. the diagnosis of this syndrome is clinical. the patient of the present case report was the second case of cdls from iran ; only a few ca...

(4) As an attempt to explain specifically the intermittent cases, those associated with a clicking Found or sensation, and those showing spontaneous resolution, it has been suggested that there is a circumferential constriction of the trochlea and sheath preventing a locally enlarged tendon fi-om sliding freely in the sheath. This concept, first proposed by Girard (I956,1has been mentioned by o...

We describe a case of chronic tenosynovitis in the hand of a 58-year-old cattle farmer. Surgical biopsy specimens grew Mycobacterium arupense. The patient responded to surgery and antimicrobial therapy based on in vitro susceptibility testing. The antimicrobial susceptibility profiles of the isolate from this patient and 39 additional clinical isolates are presented.

SUMMARY Tuberculosis infections are still one of the most important public health problems among developing countries. Musculoskeletal involvement represents 10-15% of all extrapulmonary cases. Tuberculosis tenosynovitis is usually misdiagnosed as nonspecific tenosynovitis. To avoid misdiagnosis and mistreatment, it is important to be alert for mycobacterial infections. This article presents 3 ...

SUMMARY Streptococcus mitis is a commensal organism of the human oropharynx that rarely causes infection in healthy individuals. Herein, we describe a previously healthy 35-year-old woman who presented with acute pyogenic flexor tenosynovitis of the left index finger due to S. mitis infection. The patient's infection was treated successfully via surgical and medical interventions, and during fo...

BACKGROUND The red, swollen, infected hand can be a diagnostically challenging presentation in the emergency department (ED). Hand infections are a relatively uncommon ED complaint, and diagnoses may range from simple cellulitis to deep space abscess, and even to suppurative flexor tenosynovitis. The accurate differentiation of these clinical entities is of paramount importance to healing and r...