Arch Hand Microsurg 2019; 24(2): 162-166  
Tenosynovitis on Finger in Children due to Shewanella algae
Seok Won Hong1, Hwan Jun Choi1,2, Da Woon Lee1
1Department of Plastic and Reconstructive Surgery, Soonchunhyang University College of Medicine, Cheonan, Korea
2Institute of Tissue Regeneration, Soonchunhyang University, Cheonan, Korea
Correspondence to: Hwan Jun Choi
Department of Plastic and Reconstructive Surgery, Soonchunhyang University Cheonan Hospital, 31 Sooncheonhyang 6-gil, Dongnam-gu, Cheonan 31151, Korea
TEL: +82-41-570-2195, FAX: +82-41-574-6133, E-mail:
Received: January 17, 2019; Revised: March 11, 2019; Accepted: March 12, 2019; Published online: June 1, 2019.
© Korean Society for Surgery of the Hand, Korean Society for Microsurgery, and Korean Society for Surgery of the Peripheral Nerve. All rights reserved.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Infection of the hands is a relatively common disease that can occur after the injury of the fingers. Commonly, these common diseases can be treated with empirical antibiotic therapy within accurate and detailed information from their patients. But, some health care providers often simply think about this disease as simple infection and inflammation and just prescribe the empirical antibiotics without precise medical examination. Depending on the source of the infection, some patients will not readily fit into the standard antibiotic regimens that are commonly used for community pathogen. If accurate diagnosis within early treatment is delayed, it will cause the complications such as tenosynovitis, osteomyelitis and necrotizing fasciitis. By way of example, we describe the rare case of critically exacerbated from simple laceration to tenosynovitis caused by Shewanella algae whose infection was related to his initial injury and not the subsequent treatment.
Keywords: Shewanella, Hand, Tenosynovitis, Sea water

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