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An unusual cause of tenosynovitis by group B streptococcus in the immunocompromised patient: a case report


Muthanna, Abdulrahman and Aziz, Nur Afiza and Mohd Desa, Mohd Nasir and Dzaraly, Nurul Diana and Zainal Baharin, Nurul Hana and Azmai, Mohammad Noor Amal and Nordin, Syafinaz Amin (2022) An unusual cause of tenosynovitis by group B streptococcus in the immunocompromised patient: a case report. Pertanika Journal of Science & Technology, 30 (3). pp. 2071-2076. ISSN 0128-7680; ESSN: 2231-8526


This case report describes a 49-year-old immunocompromised woman with tenosynovitis of the left middle finger caused by Group B Streptococcus (GBS). She claimed that a fishbone picked over her left middle finger. An orthopaedic surgeon operated for incision and drainage of pus discharge, wound debridement of the left middle finger and A1 and A2 pulley release. Treatment was initiated with parenteral cefepime three times per day given the growth of mixed Enterobacter species on the culture media and continued with oral cefuroxime twice daily upon discharge for one week. Unfortunately, during the orthopaedic clinic follow-up, the wound was unclean with a slough and skin necrotic patch. Therefore, Ray’s amputation of the left middle finger proceeded. This case contributes to further investigation of the GBS tenosynovitis due to the rise in GBS invasive infections and shows the importance of early diagnosing and initiating treatment with antibiotics that are effective against this pathogen.

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Additional Metadata

Item Type: Article
Divisions: Faculty of Medicine and Health Science
Faculty of Science
DOI Number: https://doi.org/10.47836/pjst.30.3.17
Publisher: Universiti Putra Malaysia Press
Keywords: Group B streptococcus; Human; Immunocompromised; Tenosynovitis
Depositing User: Mohamad Jefri Mohamed Fauzi
Date Deposited: 13 Aug 2022 00:45
Last Modified: 13 Aug 2022 00:45
Altmetrics: http://www.altmetric.com/details.php?domain=psasir.upm.edu.my&doi=10.47836/pjst.30.3.17
URI: http://psasir.upm.edu.my/id/eprint/98169
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