EM@3AM - August 01, 2020 - By Ediger D and Bridwell R
Reviewed by: Long B and Koyfman A
"Pearls
- Pyogenic flexor tenosynovitis is a clinical diagnosis requiring a high index of suspicion, especially when patients return after a course of antibiotics
- Patients who have acute (<5 days) onset of painful extension and flexor sheath tenderness have a high likelihood of having PFT
- The cornerstones of management are surgical consultation and early empiric antibiotics against MRSA and Streptococcus
- Consider gonococcal tenosynovitis in sexually active patients with symptoms without antecedent hand injury"