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Call for Papers:Vol.11 Issue.5

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Title: :  Phlegmons of the Hand: Epidemiological, Clinical, Therapeutic, and Prognostic Study of 45 Cases at CTOGB–CHN
PaperId: :  27516
Published in:   International Journal Of Advance Research And Innovative Ideas In Education
Publisher:   IJARIIE
e-ISSN:   2395-4396
Volume/Issue:    Volume 11 Issue 5 2025
DUI:    16.0415/IJARIIE-27516
Licence: :   IJARIIE is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Author NameAuthor Institute
mohamed kahfaculty of Medecine,Pharmacy, and odontostomatology on nouakchott university
sidi aly ahmed MahmoudCTOGB
sidi mohamed abderrahmaneCTOGB
cheikh nefaculty of Medecine,Pharmacy, and odontostomatology on nouakchott university

Abstract

orthopedic
Phlegmon, Hand, Diabetes, Amputation
Abstract Background: A hand phlegmon is a deep, diffuse soft tissue infection without a well-defined abscess cavity, often involving the flexor tendon sheaths and fascial spaces. It is a potentially severe condition that can jeopardize hand function and, in advanced cases with systemic spread, may become life-threatening. Objective: To describe the epidemiological, clinical, therapeutic, and outcome features of hand phlegmons through a prospective study of 45 cases. Methods: We conducted a prospective, observational, and analytical study in the septic unit of the Grand-Bleu Traumatology and Orthopedic Center (CTOGB) at the National Hospital Center (CHN) of Nouakchott, from December 2023 to August 2024. All patients hospitalized for hand phlegmon during this period were included. Data were collected using a standardized questionnaire. Results: A total of 45 patients were included, with a mean age of 37.8 years (range: 7–74 years) and a sex ratio of 1.14, in favor of men. Diabetes was present in 46.6% of cases, several of which were poorly controlled. The mean consultation delay was 14 days. The most frequent sites were the index finger and thenar region (20% each). Pain was constant, followed by swelling and redness. The most common biological abnormalities were leukocytosis (80.4%) and positive CRP (77.7%). Bacteriological cultures were performed in eight patients, isolating Staphylococcus aureus and Gram-negative bacilli. Surgical treatment was performed in 95.5% of cases, consisting mainly of lavage and drainage. Amputation was necessary in 5 patients (7%). Serious complications included two cases of necrotizing fasciitis, one case of gas gangrene, and two deaths. Conclusion: Hand phlegmon is a frequent and severe surgical emergency. Delayed management, poorly controlled diabetes, and limited access to care increase the risk of complications. Prompt, multidisciplinary management is essential to improve prognosis

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IJARIIE mohamed kah, sidi aly ahmed Mahmoud, sidi mohamed abderrahmane, and cheikh ne. "Phlegmons of the Hand: Epidemiological, Clinical, Therapeutic, and Prognostic Study of 45 Cases at CTOGB–CHN" International Journal Of Advance Research And Innovative Ideas In Education Volume 11 Issue 5 2025 Page 514-518
MLA mohamed kah, sidi aly ahmed Mahmoud, sidi mohamed abderrahmane, and cheikh ne. "Phlegmons of the Hand: Epidemiological, Clinical, Therapeutic, and Prognostic Study of 45 Cases at CTOGB–CHN." International Journal Of Advance Research And Innovative Ideas In Education 11.5(2025) : 514-518.
APA mohamed kah, sidi aly ahmed Mahmoud, sidi mohamed abderrahmane, & cheikh ne. (2025). Phlegmons of the Hand: Epidemiological, Clinical, Therapeutic, and Prognostic Study of 45 Cases at CTOGB–CHN. International Journal Of Advance Research And Innovative Ideas In Education, 11(5), 514-518.
Chicago mohamed kah, sidi aly ahmed Mahmoud, sidi mohamed abderrahmane, and cheikh ne. "Phlegmons of the Hand: Epidemiological, Clinical, Therapeutic, and Prognostic Study of 45 Cases at CTOGB–CHN." International Journal Of Advance Research And Innovative Ideas In Education 11, no. 5 (2025) : 514-518.
Oxford mohamed kah, sidi aly ahmed Mahmoud, sidi mohamed abderrahmane, and cheikh ne. 'Phlegmons of the Hand: Epidemiological, Clinical, Therapeutic, and Prognostic Study of 45 Cases at CTOGB–CHN', International Journal Of Advance Research And Innovative Ideas In Education, vol. 11, no. 5, 2025, p. 514-518. Available from IJARIIE, https://ijariie.com/AdminUploadPdf/Phlegmons_of_the_Hand__Epidemiological__Clinical__Therapeutic__and_Prognostic_Study_of_45_Cases_at_CTOGB–CHN_ijariie27516.pdf (Accessed : ).
Harvard mohamed kah, sidi aly ahmed Mahmoud, sidi mohamed abderrahmane, and cheikh ne. (2025) 'Phlegmons of the Hand: Epidemiological, Clinical, Therapeutic, and Prognostic Study of 45 Cases at CTOGB–CHN', International Journal Of Advance Research And Innovative Ideas In Education, 11(5), pp. 514-518IJARIIE [Online]. Available at: https://ijariie.com/AdminUploadPdf/Phlegmons_of_the_Hand__Epidemiological__Clinical__Therapeutic__and_Prognostic_Study_of_45_Cases_at_CTOGB–CHN_ijariie27516.pdf (Accessed : )
IEEE mohamed kah, sidi aly ahmed Mahmoud, sidi mohamed abderrahmane, and cheikh ne, "Phlegmons of the Hand: Epidemiological, Clinical, Therapeutic, and Prognostic Study of 45 Cases at CTOGB–CHN," International Journal Of Advance Research And Innovative Ideas In Education, vol. 11, no. 5, pp. 514-518, Sep-Oct 2025. [Online]. Available: https://ijariie.com/AdminUploadPdf/Phlegmons_of_the_Hand__Epidemiological__Clinical__Therapeutic__and_Prognostic_Study_of_45_Cases_at_CTOGB–CHN_ijariie27516.pdf [Accessed : ].
Turabian mohamed kah, sidi aly ahmed Mahmoud, sidi mohamed abderrahmane, and cheikh ne. "Phlegmons of the Hand: Epidemiological, Clinical, Therapeutic, and Prognostic Study of 45 Cases at CTOGB–CHN." International Journal Of Advance Research And Innovative Ideas In Education [Online]. volume 11 number 5 ().
Vancouver mohamed kah, sidi aly ahmed Mahmoud, sidi mohamed abderrahmane, and cheikh ne. Phlegmons of the Hand: Epidemiological, Clinical, Therapeutic, and Prognostic Study of 45 Cases at CTOGB–CHN. International Journal Of Advance Research And Innovative Ideas In Education [Internet]. 2025 [Cited : ]; 11(5) : 514-518. Available from: https://ijariie.com/AdminUploadPdf/Phlegmons_of_the_Hand__Epidemiological__Clinical__Therapeutic__and_Prognostic_Study_of_45_Cases_at_CTOGB–CHN_ijariie27516.pdf
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