A neonate with multiple hand flexor tendon ruptures due to methicillin-susceptible Staphylococcus aureus sepsis: a case report

Background Neonatal pyogenic tenosynovitis is a highly emergent soft tissue infection. We report a case of a neonate with pyogenic tendinopathy and tendon rupture diagnosed by ultrasonography (US). He subsequently developed pyogenic arthritis and osteomyelitis during antimicrobial therapy. Case pres...
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Autor*in:	Nakamuara, Tomomi [verfasserIn] Iwai, Masanori Inoue, Takeshi Irie, Hiroki Karasugi, Tatsuki Seki, Atsuhito Hamaguchi, Masayoshi Kuraoka, Shohei Mizukami, Tomoyuki Nakamura, Kimitoshi

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2023

Schlagwörter:	Neonate Pyogenic tenosynovitis Tendon rupture Ultrasonography Case report

Anmerkung:	© The Author(s) 2023

Übergeordnetes Werk:	Enthalten in: BMC pediatrics - London : BioMed Central, 2001, 23(2023), 1 vom: 09. Feb.
Übergeordnetes Werk:	volume:23 ; year:2023 ; number:1 ; day:09 ; month:02

Links:	Volltext

DOI / URN:	10.1186/s12887-023-03871-z

Katalog-ID:	SPR051434962

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520			\|a Background Neonatal pyogenic tenosynovitis is a highly emergent soft tissue infection. We report a case of a neonate with pyogenic tendinopathy and tendon rupture diagnosed by ultrasonography (US). He subsequently developed pyogenic arthritis and osteomyelitis during antimicrobial therapy. Case presentation A 7-day-old boy was admitted to our hospital with redness and swelling of the right index finger. US on admission showed rupture of the flexor tendon of the right index finger with inactivity. The day after admission, he developed pyogenic arthritis of the right elbow and, subsequently, pyogenic osteomyelitis. Staphylococcus aureus was identified through bacterial culture, and the patient was treated with intravenous antibiotics for 6 weeks. However, after discharge from our hospital, rupture of the flexor tendon of the left thumb was confirmed. A two-stage flexor tendinoplasty was completed at the age of 2 years and 1 month for the flexor tendon rupture on his right index finger. Conclusions In addition to blood culture, ultrasonographic evaluation should be performed in neonates with erythematous and swollen joints to identify the focus of infection as soon as possible. Moreover, repeated regular US examination is important in the follow-up of bone and soft tissue infections.
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spelling	10.1186/s12887-023-03871-z doi (DE-627)SPR051434962 (SPR)s12887-023-03871-z-e DE-627 ger DE-627 rakwb eng Nakamuara, Tomomi verfasserin aut A neonate with multiple hand flexor tendon ruptures due to methicillin-susceptible Staphylococcus aureus sepsis: a case report 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Background Neonatal pyogenic tenosynovitis is a highly emergent soft tissue infection. We report a case of a neonate with pyogenic tendinopathy and tendon rupture diagnosed by ultrasonography (US). He subsequently developed pyogenic arthritis and osteomyelitis during antimicrobial therapy. Case presentation A 7-day-old boy was admitted to our hospital with redness and swelling of the right index finger. US on admission showed rupture of the flexor tendon of the right index finger with inactivity. The day after admission, he developed pyogenic arthritis of the right elbow and, subsequently, pyogenic osteomyelitis. Staphylococcus aureus was identified through bacterial culture, and the patient was treated with intravenous antibiotics for 6 weeks. However, after discharge from our hospital, rupture of the flexor tendon of the left thumb was confirmed. A two-stage flexor tendinoplasty was completed at the age of 2 years and 1 month for the flexor tendon rupture on his right index finger. Conclusions In addition to blood culture, ultrasonographic evaluation should be performed in neonates with erythematous and swollen joints to identify the focus of infection as soon as possible. Moreover, repeated regular US examination is important in the follow-up of bone and soft tissue infections. Neonate (dpeaa)DE-He213 Pyogenic tenosynovitis (dpeaa)DE-He213 Tendon rupture (dpeaa)DE-He213 Ultrasonography (dpeaa)DE-He213 Case report (dpeaa)DE-He213 Iwai, Masanori (orcid)0000-0002-9173-0652 aut Inoue, Takeshi aut Irie, Hiroki aut Karasugi, Tatsuki aut Seki, Atsuhito aut Hamaguchi, Masayoshi aut Kuraoka, Shohei aut Mizukami, Tomoyuki aut Nakamura, Kimitoshi aut Enthalten in BMC pediatrics London : BioMed Central, 2001 23(2023), 1 vom: 09. Feb. (DE-627)326643621 (DE-600)2041342-7 1471-2431 nnns volume:23 year:2023 number:1 day:09 month:02 https://dx.doi.org/10.1186/s12887-023-03871-z kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 23 2023 1 09 02
allfields_unstemmed	10.1186/s12887-023-03871-z doi (DE-627)SPR051434962 (SPR)s12887-023-03871-z-e DE-627 ger DE-627 rakwb eng Nakamuara, Tomomi verfasserin aut A neonate with multiple hand flexor tendon ruptures due to methicillin-susceptible Staphylococcus aureus sepsis: a case report 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Background Neonatal pyogenic tenosynovitis is a highly emergent soft tissue infection. We report a case of a neonate with pyogenic tendinopathy and tendon rupture diagnosed by ultrasonography (US). He subsequently developed pyogenic arthritis and osteomyelitis during antimicrobial therapy. Case presentation A 7-day-old boy was admitted to our hospital with redness and swelling of the right index finger. US on admission showed rupture of the flexor tendon of the right index finger with inactivity. The day after admission, he developed pyogenic arthritis of the right elbow and, subsequently, pyogenic osteomyelitis. Staphylococcus aureus was identified through bacterial culture, and the patient was treated with intravenous antibiotics for 6 weeks. However, after discharge from our hospital, rupture of the flexor tendon of the left thumb was confirmed. A two-stage flexor tendinoplasty was completed at the age of 2 years and 1 month for the flexor tendon rupture on his right index finger. Conclusions In addition to blood culture, ultrasonographic evaluation should be performed in neonates with erythematous and swollen joints to identify the focus of infection as soon as possible. Moreover, repeated regular US examination is important in the follow-up of bone and soft tissue infections. Neonate (dpeaa)DE-He213 Pyogenic tenosynovitis (dpeaa)DE-He213 Tendon rupture (dpeaa)DE-He213 Ultrasonography (dpeaa)DE-He213 Case report (dpeaa)DE-He213 Iwai, Masanori (orcid)0000-0002-9173-0652 aut Inoue, Takeshi aut Irie, Hiroki aut Karasugi, Tatsuki aut Seki, Atsuhito aut Hamaguchi, Masayoshi aut Kuraoka, Shohei aut Mizukami, Tomoyuki aut Nakamura, Kimitoshi aut Enthalten in BMC pediatrics London : BioMed Central, 2001 23(2023), 1 vom: 09. Feb. (DE-627)326643621 (DE-600)2041342-7 1471-2431 nnns volume:23 year:2023 number:1 day:09 month:02 https://dx.doi.org/10.1186/s12887-023-03871-z kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 23 2023 1 09 02
allfieldsGer	10.1186/s12887-023-03871-z doi (DE-627)SPR051434962 (SPR)s12887-023-03871-z-e DE-627 ger DE-627 rakwb eng Nakamuara, Tomomi verfasserin aut A neonate with multiple hand flexor tendon ruptures due to methicillin-susceptible Staphylococcus aureus sepsis: a case report 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Background Neonatal pyogenic tenosynovitis is a highly emergent soft tissue infection. We report a case of a neonate with pyogenic tendinopathy and tendon rupture diagnosed by ultrasonography (US). He subsequently developed pyogenic arthritis and osteomyelitis during antimicrobial therapy. Case presentation A 7-day-old boy was admitted to our hospital with redness and swelling of the right index finger. US on admission showed rupture of the flexor tendon of the right index finger with inactivity. The day after admission, he developed pyogenic arthritis of the right elbow and, subsequently, pyogenic osteomyelitis. Staphylococcus aureus was identified through bacterial culture, and the patient was treated with intravenous antibiotics for 6 weeks. However, after discharge from our hospital, rupture of the flexor tendon of the left thumb was confirmed. A two-stage flexor tendinoplasty was completed at the age of 2 years and 1 month for the flexor tendon rupture on his right index finger. Conclusions In addition to blood culture, ultrasonographic evaluation should be performed in neonates with erythematous and swollen joints to identify the focus of infection as soon as possible. Moreover, repeated regular US examination is important in the follow-up of bone and soft tissue infections. Neonate (dpeaa)DE-He213 Pyogenic tenosynovitis (dpeaa)DE-He213 Tendon rupture (dpeaa)DE-He213 Ultrasonography (dpeaa)DE-He213 Case report (dpeaa)DE-He213 Iwai, Masanori (orcid)0000-0002-9173-0652 aut Inoue, Takeshi aut Irie, Hiroki aut Karasugi, Tatsuki aut Seki, Atsuhito aut Hamaguchi, Masayoshi aut Kuraoka, Shohei aut Mizukami, Tomoyuki aut Nakamura, Kimitoshi aut Enthalten in BMC pediatrics London : BioMed Central, 2001 23(2023), 1 vom: 09. Feb. (DE-627)326643621 (DE-600)2041342-7 1471-2431 nnns volume:23 year:2023 number:1 day:09 month:02 https://dx.doi.org/10.1186/s12887-023-03871-z kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 23 2023 1 09 02
allfieldsSound	10.1186/s12887-023-03871-z doi (DE-627)SPR051434962 (SPR)s12887-023-03871-z-e DE-627 ger DE-627 rakwb eng Nakamuara, Tomomi verfasserin aut A neonate with multiple hand flexor tendon ruptures due to methicillin-susceptible Staphylococcus aureus sepsis: a case report 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Background Neonatal pyogenic tenosynovitis is a highly emergent soft tissue infection. We report a case of a neonate with pyogenic tendinopathy and tendon rupture diagnosed by ultrasonography (US). He subsequently developed pyogenic arthritis and osteomyelitis during antimicrobial therapy. Case presentation A 7-day-old boy was admitted to our hospital with redness and swelling of the right index finger. US on admission showed rupture of the flexor tendon of the right index finger with inactivity. The day after admission, he developed pyogenic arthritis of the right elbow and, subsequently, pyogenic osteomyelitis. Staphylococcus aureus was identified through bacterial culture, and the patient was treated with intravenous antibiotics for 6 weeks. However, after discharge from our hospital, rupture of the flexor tendon of the left thumb was confirmed. A two-stage flexor tendinoplasty was completed at the age of 2 years and 1 month for the flexor tendon rupture on his right index finger. Conclusions In addition to blood culture, ultrasonographic evaluation should be performed in neonates with erythematous and swollen joints to identify the focus of infection as soon as possible. Moreover, repeated regular US examination is important in the follow-up of bone and soft tissue infections. Neonate (dpeaa)DE-He213 Pyogenic tenosynovitis (dpeaa)DE-He213 Tendon rupture (dpeaa)DE-He213 Ultrasonography (dpeaa)DE-He213 Case report (dpeaa)DE-He213 Iwai, Masanori (orcid)0000-0002-9173-0652 aut Inoue, Takeshi aut Irie, Hiroki aut Karasugi, Tatsuki aut Seki, Atsuhito aut Hamaguchi, Masayoshi aut Kuraoka, Shohei aut Mizukami, Tomoyuki aut Nakamura, Kimitoshi aut Enthalten in BMC pediatrics London : BioMed Central, 2001 23(2023), 1 vom: 09. Feb. (DE-627)326643621 (DE-600)2041342-7 1471-2431 nnns volume:23 year:2023 number:1 day:09 month:02 https://dx.doi.org/10.1186/s12887-023-03871-z kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 23 2023 1 09 02
language	English
source	Enthalten in BMC pediatrics 23(2023), 1 vom: 09. Feb. volume:23 year:2023 number:1 day:09 month:02
sourceStr	Enthalten in BMC pediatrics 23(2023), 1 vom: 09. Feb. volume:23 year:2023 number:1 day:09 month:02
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topic_facet	Neonate Pyogenic tenosynovitis Tendon rupture Ultrasonography Case report
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We report a case of a neonate with pyogenic tendinopathy and tendon rupture diagnosed by ultrasonography (US). He subsequently developed pyogenic arthritis and osteomyelitis during antimicrobial therapy. Case presentation A 7-day-old boy was admitted to our hospital with redness and swelling of the right index finger. US on admission showed rupture of the flexor tendon of the right index finger with inactivity. The day after admission, he developed pyogenic arthritis of the right elbow and, subsequently, pyogenic osteomyelitis. Staphylococcus aureus was identified through bacterial culture, and the patient was treated with intravenous antibiotics for 6 weeks. However, after discharge from our hospital, rupture of the flexor tendon of the left thumb was confirmed. A two-stage flexor tendinoplasty was completed at the age of 2 years and 1 month for the flexor tendon rupture on his right index finger. Conclusions In addition to blood culture, ultrasonographic evaluation should be performed in neonates with erythematous and swollen joints to identify the focus of infection as soon as possible. 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author	Nakamuara, Tomomi
spellingShingle	Nakamuara, Tomomi misc Neonate misc Pyogenic tenosynovitis misc Tendon rupture misc Ultrasonography misc Case report A neonate with multiple hand flexor tendon ruptures due to methicillin-susceptible Staphylococcus aureus sepsis: a case report
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topic_title	A neonate with multiple hand flexor tendon ruptures due to methicillin-susceptible Staphylococcus aureus sepsis: a case report Neonate (dpeaa)DE-He213 Pyogenic tenosynovitis (dpeaa)DE-He213 Tendon rupture (dpeaa)DE-He213 Ultrasonography (dpeaa)DE-He213 Case report (dpeaa)DE-He213
topic	misc Neonate misc Pyogenic tenosynovitis misc Tendon rupture misc Ultrasonography misc Case report
topic_unstemmed	misc Neonate misc Pyogenic tenosynovitis misc Tendon rupture misc Ultrasonography misc Case report
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title	A neonate with multiple hand flexor tendon ruptures due to methicillin-susceptible Staphylococcus aureus sepsis: a case report
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title_full	A neonate with multiple hand flexor tendon ruptures due to methicillin-susceptible Staphylococcus aureus sepsis: a case report
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author_browse	Nakamuara, Tomomi Iwai, Masanori Inoue, Takeshi Irie, Hiroki Karasugi, Tatsuki Seki, Atsuhito Hamaguchi, Masayoshi Kuraoka, Shohei Mizukami, Tomoyuki Nakamura, Kimitoshi
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title_sort	neonate with multiple hand flexor tendon ruptures due to methicillin-susceptible staphylococcus aureus sepsis: a case report
title_auth	A neonate with multiple hand flexor tendon ruptures due to methicillin-susceptible Staphylococcus aureus sepsis: a case report
abstract	Background Neonatal pyogenic tenosynovitis is a highly emergent soft tissue infection. We report a case of a neonate with pyogenic tendinopathy and tendon rupture diagnosed by ultrasonography (US). He subsequently developed pyogenic arthritis and osteomyelitis during antimicrobial therapy. Case presentation A 7-day-old boy was admitted to our hospital with redness and swelling of the right index finger. US on admission showed rupture of the flexor tendon of the right index finger with inactivity. The day after admission, he developed pyogenic arthritis of the right elbow and, subsequently, pyogenic osteomyelitis. Staphylococcus aureus was identified through bacterial culture, and the patient was treated with intravenous antibiotics for 6 weeks. However, after discharge from our hospital, rupture of the flexor tendon of the left thumb was confirmed. A two-stage flexor tendinoplasty was completed at the age of 2 years and 1 month for the flexor tendon rupture on his right index finger. Conclusions In addition to blood culture, ultrasonographic evaluation should be performed in neonates with erythematous and swollen joints to identify the focus of infection as soon as possible. Moreover, repeated regular US examination is important in the follow-up of bone and soft tissue infections. © The Author(s) 2023
abstractGer	Background Neonatal pyogenic tenosynovitis is a highly emergent soft tissue infection. We report a case of a neonate with pyogenic tendinopathy and tendon rupture diagnosed by ultrasonography (US). He subsequently developed pyogenic arthritis and osteomyelitis during antimicrobial therapy. Case presentation A 7-day-old boy was admitted to our hospital with redness and swelling of the right index finger. US on admission showed rupture of the flexor tendon of the right index finger with inactivity. The day after admission, he developed pyogenic arthritis of the right elbow and, subsequently, pyogenic osteomyelitis. Staphylococcus aureus was identified through bacterial culture, and the patient was treated with intravenous antibiotics for 6 weeks. However, after discharge from our hospital, rupture of the flexor tendon of the left thumb was confirmed. A two-stage flexor tendinoplasty was completed at the age of 2 years and 1 month for the flexor tendon rupture on his right index finger. Conclusions In addition to blood culture, ultrasonographic evaluation should be performed in neonates with erythematous and swollen joints to identify the focus of infection as soon as possible. Moreover, repeated regular US examination is important in the follow-up of bone and soft tissue infections. © The Author(s) 2023
abstract_unstemmed	Background Neonatal pyogenic tenosynovitis is a highly emergent soft tissue infection. We report a case of a neonate with pyogenic tendinopathy and tendon rupture diagnosed by ultrasonography (US). He subsequently developed pyogenic arthritis and osteomyelitis during antimicrobial therapy. Case presentation A 7-day-old boy was admitted to our hospital with redness and swelling of the right index finger. US on admission showed rupture of the flexor tendon of the right index finger with inactivity. The day after admission, he developed pyogenic arthritis of the right elbow and, subsequently, pyogenic osteomyelitis. Staphylococcus aureus was identified through bacterial culture, and the patient was treated with intravenous antibiotics for 6 weeks. However, after discharge from our hospital, rupture of the flexor tendon of the left thumb was confirmed. A two-stage flexor tendinoplasty was completed at the age of 2 years and 1 month for the flexor tendon rupture on his right index finger. Conclusions In addition to blood culture, ultrasonographic evaluation should be performed in neonates with erythematous and swollen joints to identify the focus of infection as soon as possible. Moreover, repeated regular US examination is important in the follow-up of bone and soft tissue infections. © The Author(s) 2023
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title_short	A neonate with multiple hand flexor tendon ruptures due to methicillin-susceptible Staphylococcus aureus sepsis: a case report
url	https://dx.doi.org/10.1186/s12887-023-03871-z
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author2	Iwai, Masanori Inoue, Takeshi Irie, Hiroki Karasugi, Tatsuki Seki, Atsuhito Hamaguchi, Masayoshi Kuraoka, Shohei Mizukami, Tomoyuki Nakamura, Kimitoshi
author2Str	Iwai, Masanori Inoue, Takeshi Irie, Hiroki Karasugi, Tatsuki Seki, Atsuhito Hamaguchi, Masayoshi Kuraoka, Shohei Mizukami, Tomoyuki Nakamura, Kimitoshi
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Conclusions In addition to blood culture, ultrasonographic evaluation should be performed in neonates with erythematous and swollen joints to identify the focus of infection as soon as possible. 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A neonate with multiple hand flexor tendon ruptures due to methicillin-susceptible Staphylococcus aureus sepsis: a case report

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