Indian Journal of Plastic Surgery
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 CASE REPORT
Year : 2004  |  Volume : 37  |  Issue : 2  |  Page : 131--133

Cutaneous anthrax of the hand: Some clinical observations


Ankara Education and Research Hospital, Department of Plastic Reconstructive and Anaesthetic Surgery, Cebeci, Ankara, Turkey

Correspondence Address:
Dogan Tuncali
Mahatma Gandi cad, Mesa Ufuk 1 sitesi 51/28, Gaziosmanpasa 06700 - Ankara
Turkey
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Source of Support: None, Conflict of Interest: None


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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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