Hand infections can cause severe problems that persist even after the infection has resolved, such as stiffness, loss of strength, and loss of tissues such as skin, nerve and bone. Thus, early and aggressive treatment of infections is essential. When seen early, some types of infection can be treated with antibiotics and local rest and soaking.
Swelling happens when part of your body — such as the organs, skin, or muscle — enlarges. It usually happens because of inflammation or fluid buildup in the body part. Swelling can be internal or affect outer skin and muscles.
A more recent article on acute hand infections is available. Host factors, location, and circumstances of the infection are important guides to initial treatment strategies. Many hand infections improve with early splinting, elevation, appropriate antibiotics and, if an abscess is present, incision and drainage.
A felon is a subcutaneous abscess of the distal pulp of a phalanx, characterized by multiple vertical and fibrous trabeculae or septa. Often, a penetrating injury precedes the felon; pain and swelling develop quickly thereafter. The felon must be incised and drained; post-operative management includes systemic antibiotics and splinting.
An infection inside the tip of the finger can form an enclosed pocket of pus or abscess that is very painful as it expands. A felon is a fingertip abscess deep in the palm side of the finger. It usually is caused by bacterial infection, most often from growth of Staphylococcus aureus bacteria.
If your institution subscribes to this resource, and you don't have a MyAccess Profile, please contact your library's reference desk for information on how to gain access to this resource from off-campus. A felon is a subcutaneous infection or abscess in the pulp space on the volar surface of the distal phalanx. It is usually caused by penetrating trauma, an abrasion, spread from adjacent tissues e. A felon can also develop in the presence of a foreign body, such as a wood splinter or a thorn.
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A year-old female type one diabetic patient comes into your emergency department after several days of progressive swelling and severe pain of the right index finger tip. On your examination, the nail fold seems swollen and tender, but there is also some tenderness and tenseness of the pulp of the digit as well. You wonder if you are dealing with a paronychia or a felon.