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J Hand Microsurg 2020; 12(02): 125-127
DOI: 10.1055/s-0039-1697062
Case Report

Deep Penetrating Kerosene Exposure in the Hand Mimicking Deep Space Infection

Michael S. Guss
1   Department of Hand Surgery, PC, Newton-Wellesley Hospital, Tufts University School of Medicine, Boston, Massachusetts, United States
,
David E. Ruchelsman
1   Department of Hand Surgery, PC, Newton-Wellesley Hospital, Tufts University School of Medicine, Boston, Massachusetts, United States
,
Matthew I. Leibman
1   Department of Hand Surgery, PC, Newton-Wellesley Hospital, Tufts University School of Medicine, Boston, Massachusetts, United States
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Abstract

In this case report, we review the clinical course of an adolescent who sustained a low-velocity, low-pressure, penetrating wound to the midpalmar aspect of the hand with a kerosene containing thermometer. The exposure led to a clinical picture of an acute midpalmar abscess within 24 hours. Despite irrigation and debridement of frank purulent material, cultures and pathology remained negative for infection. This case highlights that kerosene exposure, although rare, can mimic an acute infection with intraoperative findings consistent with sterile purulence. Hand surgeons must be aware of the effects of deep soft tissue exposure with hydrocarbons, such as kerosene and petrol, and should have a low threshold to take the patient to the operating room for thorough irrigation and debridement of the offending substance.

Keywords

case report - hand infection - chemical burn - kerosene - sterile purulence


Publication History

Article published online:
22 November 2019

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