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The Journal of Hand Surgery
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    • Wu, Chia HRemove Wu, Chia H filter
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    • Barron, Olivia A1
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    • Strauch, Robert J1

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    • Infection1
    • mucormycosis1
    • Necrotizing fasciitis1
    • Photobacterium damsela1
    • upper extremity1
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    • Case Repository

      Photobacterium damsela Necrotizing Fasciitis of the Arm

      Journal of Hand Surgery
      Vol. 47Issue 9p905.e1–905.e8Published online: September 30, 2021
      • David P. Martin
      • Olivia A. Barron
      • Chia H. Wu
      Cited in Scopus: 1
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        Photobacterium damsela is a gram-negative bacterium that is known to cause infection, most commonly in marine animals and rarely in humans. Photobacterium damsela typically results in skin and soft tissue infections in humans and has been associated with necrotizing fasciitis in several case reports. After an initially benign presentation, P damsela necrotizing fasciitis often progresses rapidly to multiorgan failure and death. Here, we present a fatal case of P damsela necrotizing fasciitis after a minor cut while scaling a fish with a discussion of current literature and treatment strategies.
        Photobacterium damsela Necrotizing Fasciitis of the Arm
      • Case Repository

        Topical Treatment for Cutaneous Mucormycosis of the Upper Extremity

        Journal of Hand Surgery
        Vol. 45Issue 12p1189.e1–1189.e5Published online: March 23, 2020
        • Matthew W. Konigsberg
        • Chia H. Wu
        • Robert J. Strauch
        Cited in Scopus: 3
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          Mucormycosis is a relatively rare but extremely aggressive fungal infection that commonly affects patients who are compromised hosts. These infections typically come in various patterns: pulmonary, sinus, rhinocerebral, cerebral, cutaneous, or disseminated forms. Treatment usually consists of a combination of antifungal agents and surgical debridement, although morbidity and mortality are high. In this case report, we describe the course of a patient with a disseminated Mucor infection, primarily involving the upper extremities, who was successfully treated with topical and systemic antifungal agents without the need for surgical intervention.
          Topical Treatment for Cutaneous Mucormycosis of the Upper Extremity
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