Infections following clenched-fist injury: a new perspective
Goldstein EJ. Miller TA. Citron DM. Finegold SM. Journal of Hand Surgery - St Louis. [JC:ia9] 3(5):455-7, 1978 Sep. Fifteen cases of clenched-fist injury were studied by aerobic, anaerobic, and 10% CO2 cultures. Anaerobic bacteria and Eikenella corrodens were prominent pathogens, being recovered in 60% and 20% of cases, respectively. These organisms are more susceptible to penicillin than to penicillinase-resistant penicillins or cephalosporins. All clenched-fist injuries should be cultured in aerobic, anaerobic, and 10% CO2 atmospheres. We recommend the use of both penicillin and a penicillinase -resistant penicillin as initial empiric therapy.
Original Text by Clifford R. Wheeless, III, MD.
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