Cutaneous anthrax of the hand: Some clinical observations

CONTEXT: Anthrax is a very rare disease in Europe and the United States. AIM: A case of cutaneous anthrax of the hand with a wide skin defect is presented and some clinical observations highlighted. CASE REPORT: A 56-year-old male patient with cutaneous anthrax attended our infectious diseases depar...

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Main Authors: Dogan Tuncali, Unzile B. Akbuga, Gurcan Aslan
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2004-07-01
Series:Indian Journal of Plastic Surgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1697228
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author Dogan Tuncali
Unzile B. Akbuga
Gurcan Aslan
author_facet Dogan Tuncali
Unzile B. Akbuga
Gurcan Aslan
author_sort Dogan Tuncali
collection DOAJ
description CONTEXT: Anthrax is a very rare disease in Europe and the United States. AIM: A case of cutaneous anthrax of the hand with a wide skin defect is presented and some clinical observations highlighted. CASE REPORT: A 56-year-old male patient with cutaneous anthrax attended our infectious diseases department with a swelling up to the upper arm. An urgent fasciotomy was undertaken with a diagnosis of compartment syndrome. A black eschar had formed on the dorsal surface of the hand. A superficial tangential escharectomy was performed. RESULTS: Viable fibrous tissue, about 4 to 5 mm in thickness over the extensor tendons, was found under the eschar. At the postoperative 2-year follow-up, remarkable healing was observed via skin grafting. CONCLUSIONS: Hand surgeons should be cautious against the compartment syndrome that may accompany cutaneous anthrax of the hand. A consistent viable fibrous tissue can be found below the eschar. The mechanism for the involvement of the hand dorsum needs further concern.
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institution DOAJ
issn 0970-0358
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language English
publishDate 2004-07-01
publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
record_format Article
series Indian Journal of Plastic Surgery
spelling doaj-art-802a50c1fb6f4d9a99924066253da3b02025-08-20T03:07:06ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2004-07-01370213113310.1055/s-0039-1697228Cutaneous anthrax of the hand: Some clinical observationsDogan Tuncali0Unzile B. Akbuga1Gurcan Aslan2Ankara Education and Research Hospital, Department of Plastic Reconstructive and Anaesthetic Surgery, Cebeci, Ankara, TurkeyAnkara Education and Research Hospital, Department of Plastic Reconstructive and Anaesthetic Surgery, Cebeci, Ankara, TurkeyAnkara Education and Research Hospital, Department of Plastic Reconstructive and Anaesthetic Surgery, Cebeci, Ankara, TurkeyCONTEXT: Anthrax is a very rare disease in Europe and the United States. AIM: A case of cutaneous anthrax of the hand with a wide skin defect is presented and some clinical observations highlighted. CASE REPORT: A 56-year-old male patient with cutaneous anthrax attended our infectious diseases department with a swelling up to the upper arm. An urgent fasciotomy was undertaken with a diagnosis of compartment syndrome. A black eschar had formed on the dorsal surface of the hand. A superficial tangential escharectomy was performed. RESULTS: Viable fibrous tissue, about 4 to 5 mm in thickness over the extensor tendons, was found under the eschar. At the postoperative 2-year follow-up, remarkable healing was observed via skin grafting. CONCLUSIONS: Hand surgeons should be cautious against the compartment syndrome that may accompany cutaneous anthrax of the hand. A consistent viable fibrous tissue can be found below the eschar. The mechanism for the involvement of the hand dorsum needs further concern.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1697228cutaneous anthraxhandcompartment syndrome
spellingShingle Dogan Tuncali
Unzile B. Akbuga
Gurcan Aslan
Cutaneous anthrax of the hand: Some clinical observations
Indian Journal of Plastic Surgery
cutaneous anthrax
hand
compartment syndrome
title Cutaneous anthrax of the hand: Some clinical observations
title_full Cutaneous anthrax of the hand: Some clinical observations
title_fullStr Cutaneous anthrax of the hand: Some clinical observations
title_full_unstemmed Cutaneous anthrax of the hand: Some clinical observations
title_short Cutaneous anthrax of the hand: Some clinical observations
title_sort cutaneous anthrax of the hand some clinical observations
topic cutaneous anthrax
hand
compartment syndrome
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1697228
work_keys_str_mv AT dogantuncali cutaneousanthraxofthehandsomeclinicalobservations
AT unzilebakbuga cutaneousanthraxofthehandsomeclinicalobservations
AT gurcanaslan cutaneousanthraxofthehandsomeclinicalobservations