Fingertip necrosis: pneumococcal sepsis

Case contributed by A.Prof Frank Gaillard

Presentation

Rapid onset of systemic illness.

Patient Data

Age: 40 years
Gender: Male
Modality: X-ray

Right upper lobe consolidation present. The left lungs is clear.  No evidence of pneumothorax or pleural effusion.  No evidence of cavitation.  

This patient went on to deteriorate rapidly, was intubated and spend a few weeks in ICU with multi-organ failure. During that time his hands were noted to be abnormal.

Modality: X-ray

The soft tissues of the tips of the first, second, third and fourth digits is markedly atrophic.  The second digit seems most severely affected, without however convincing evidence of osteomyelitis or septic arthritis.  The remainder of the hands appear essentially unremarkable, other than some periarticular osteopenia.

Case Discussion

This case demonstrates peripheral necrosis of the fingertips, in this case due to pneumococcal spesis. 

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Case Information

rID: 18191
Case created: 18th Jun 2012
Last edited: 5th Nov 2015
Tag: crop
Inclusion in quiz mode: Included

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