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1. Chronic Mycobacterium infection of first dorsal web space after accidental Bacilli Calmette-Guérin injection in a health worker: case report.

Author

Vigler M, Mulett H, and Hausman MR

Subjects
Adult, Antitubercular Agents therapeutic use, Chronic Disease, Drug Resistance, Multiple, Bacterial, Female, Humans, Negative-Pressure Wound Therapy, Nurse Practitioners, Soft Tissue Infections therapy, Surgical Flaps, Tuberculosis, Cutaneous therapy, BCG Vaccine adverse effects, Hand microbiology, Needlestick Injuries complications, Soft Tissue Infections microbiology, Tuberculosis, Cutaneous microbiology
Abstract

We present a case of inoculation of the first dorsal web space by a nurse practitioner who accidentally stuck herself while preparing Bacilli Calmette-Guérin vaccine for treatment of bladder tumor. We report the evolution and management of this resistant chronic Mycobacterium infection that ultimately required use of a vacuum wound management system followed by a microvascular free tissue transfer.

Published
2008
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