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Upper Limb Escherichia Coli Cellulitis in the Immunocompromised

From the Hand and Upper Limb Centre and Division of Plastic Surgery, University of Western Ontario, London, Ontario, Canada

Correspondence: Dr D. C. Ross, Hand and Upper Limb Centre and Division of Plastic Surgery, University of Western Ontario, St Joseph’s Health Centre, 268 Grosvenor Street, London, Ontario, Canada N6A 4L6.

The neutropenic state characteristic of acute lymphoblastic leukaemia (ALL) predisposes to infections involving Gram-negative bacilli. An Escherichia coli cellulitis originating in the first web space of the hand is described in a patient undergoing reinductiori chemotherapy for ALL. Proximal extension of the infection progressed at a very rapid rate and required a forequarter amputation as a life saving measure. Due to the blunted inflammatory response in neutropenic patients, the need for close monitoring and quick intervention is stressed.

Journal of Hand Surgery (British and European Volume), Vol. 22, No. 5, 679-680 (1997)
DOI: 10.1016/S0266-7681(97)80376-2


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