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- W3041065841 abstract "Septic arthritis of the wrist can result in joint destruction, making timely diagnosis crucial for initiating empiric antibiotics and surgical intervention. Mycobacterium is a rare cause of this disorder. A 47-year-old man with bladder cancer was treated surgically and received BCG intravesical therapy. Eleven months later, this patient developed severe carpal BCGitis requiring total carpal resection. The first step was addition of a cement spacer and radiometacarpal stabilisation (Masquelet technique). Secondary infections occurred aggravating the prognosis. This case emphasises the importance of taking into account the patient's medical history. Tuberculosis of the wrist is a rare etiology for septic arthritis; delayed treatment leads to severe complications and functional sequelae. L’arthrite septique du poignet peut entraîner la destruction de l’articulation, ce qui rend un diagnostic précoce crucial pour initier un traitement antibiotique empirique et une intervention chirurgicale. Mycobacterium est une étiologie exceptionnelle de cette affection. Un homme de 47 ans avait été traité chirurgicalement et par des instillations endovésicales de BCG pour un cancer de la vessie. Ce patient a développé 11 mois plus tard une BCGite sévère du poignet nécessitant une résection totale du carpe. La mise en place d’une entretoise en ciment et une stabilisation radio-métacarpienne a été nécessaire (technique de Masquelet). Des infections secondaires sont apparues, aggravant le pronostic. Ce cas souligne l’importance de prendre en compte les antécédents médicaux du patient. La tuberculose du poignet est une étiologie d’arthrite septique rare et un traitement tardif entraîne de graves complications et des séquelles fonctionnelles invalidantes." @default.
- W3041065841 created "2020-07-16" @default.
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- W3041065841 date "2020-12-01" @default.
- W3041065841 modified "2023-10-02" @default.
- W3041065841 title "BCGitis of the wrist after intravesical BCG therapy: A case report" @default.
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- W3041065841 doi "https://doi.org/10.1016/j.hansur.2020.05.011" @default.
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