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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Turner, Samuel Tandon, Karuna Gietzmann, William Kristian Miles Mousinho, Joana |
| Description | Author Affiliation: Gietzmann WK ( East Sussex Hospitals NHS Trust, Eastbourne, East Sussex, UK.); Mousinho J ( East Sussex Hospitals NHS Trust, Eastbourne, East Sussex, UK.); Tandon K ( East Sussex Hospitals NHS Trust, Eastbourne, East Sussex, UK.); Turner S ( East Sussex Hospitals NHS Trust, Eastbourne, East Sussex, UK.) |
| Abstract | A 23-year-old glazer presented to the A&E department with pain in his left arm following a 2â mm puncture injury to his left thenar eminence. Examination showed crepitus throughout the arm and over the chest wall. Plain X-rays confirmed extensive surgical emphysema but no evidence of pneumothorax. Clinical observations and laboratory markers for infection were normal. The patient was prescribed broad spectrum antibiotics for presumed gas-producing organism infection. After 24â h cultures returned negative and no other signs of infection were detected. Treatment was discontinued and the patient was allowed home. Several days later he experienced severe diarrhoea and as a result required time off work. No cause was found on investigation. We postulate a benign aetiology for the surgical emphysema in this case. In future it may be possible to recognise benign surgical emphysema at presentation and avoid prescribing unnecessary antibiotics. |
| e-ISSN | 1757790X |
| Journal | BMJ Case Reports |
| Volume Number | 2014 |
| Language | English |
| Publisher | BMJ Publishing Group Ltd. |
| Publisher Place | Great Britain (UK) |
| Access Restriction | Open |
| Subject Keyword | Emphysema Etiology Hand Injuries Complications Wounds, Penetrating Anti-Bacterial Agents Therapeutic Use Diagnosis, Differential Diagnosis Drug Therapy Soft Tissue Infections Multidisciplinary |
| Content Type | Text |
| Resource Type | Article |
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