Article in Japanese

A case of felon in the right thumb

Maiko IGARASHI, Tomomi NAITO, Nao OIKAWA, Yasuko NAKAJIMA, Hisaya TOMORI, Juri NISHIURA, Shoichi OYAMA

Soft tissue infection can be life threatening if the diagnosis and treatment are delayed especially when a deep structure is involved. Therefore, such deep soft tissue infection requires prompt surgical treatment and/or broad spectrum antibacterial drug. We experienced a case of anaerobic cellulitis in 1 year 9 month old female infant with an unknown cause of injury and no evidence of underlying disease in the right thumb. The patient's right thumb was partly black, and an X-ray showed a gas shadow in the lesion. Since gas forming soft tissue infection is clinically difficult to diagnose at the first presentation, urgent surgical intervention was considered to be important for differential diagnosis particularly when a life threatening disease was suspected.

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Department of Pediatrics, Saiseikai Kawaguchi General Hospital

Key words
Received	June 6, 2011
Accepted	December 12, 2011

24 (2)：133─137,2012