CC BY-NC-ND 4.0 · Revista Iberoamericana de Cirugía de la Mano 2020; 48(01): 053-055
DOI: 10.1055/s-0040-1712093
Case Reports | Casos Clinicos
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

A Rare Cause of Hand Infection: Streptococcus Constellatus

Article in several languages: English | español
1  Department of Reconstructive and Aesthetic Surgery, Centro Hospitalar Lisboa Ocidental, Lisboa, Portugal
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2  Department of Reconstructive and Aesthetic Surgery, Hospital Garcia de Orta, Almada, Portugal
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1  Department of Reconstructive and Aesthetic Surgery, Centro Hospitalar Lisboa Ocidental, Lisboa, Portugal
› Author Affiliations
Further Information

Publication History

08 September 2019

10 March 2020

Publication Date:
29 May 2020 (online)

Abstract

Hand infections represent common medical and surgical challenges that endanger delicate structures with severe consequences if not promptly addressed. Early identification and management are essential to achieve optimal outcomes. To the best of our knowledge this is the first reported case caused by Streptococcus constellatus, in which a severe periungueal infection evolved rapidly with septic thrombosis of digital vessels and culminated in amputation. This microorganism belongs to a group of commensal bacteria, Streptococcus milleri, that causes dental, peritonsillar and sinus abscesses. When bacteriemia outbursts, distant abscesses may form or endocarditis may ensue. A missed diagnosis and treatment can induce important morbidities, often delayed by the difficult isolation of the agent in the laboratory and its complex mechanisms of antibacterial resistance. This article focus on the importance of identifying serious hand infections requiring urgent or emergent treatment, since delayed or inadequate identification and management can lead to important and permanent deficits.