1975 Aug. 130(2):194-8. Barkin JA, Miki RA, Mahmood Z, Landy DC, Owens P. Prevalence of methicillin resistant Staphylococcus aureus in upper extremity soft tissue infections at Jackson Memorial Hospital, Miami-Dade County, Florida. 1978 Jun 17;7(24):2161-3. 2012280-overview Case report in two adolescent females with IDDM. 71(4):239-44. Am J Surg. Acute felon as a complication of systemic paclitaxel therapy: case report and review of the literature.

J Hand Surg [Am].

Antibiotics may be changed if the infection does not clear up promptly or if testing of the pus indicates that the infection is caused by an unusual organism or one that is resistant to the usual antibiotics. Like other types of infections, felons sometimes begin after the finger is punctured by a wood splinter or something else.

… HHS Some of these incisions offer no benefit but increase the potential for serious injury. Diseases & Conditions, 2002

What Is the Risk of Catching the Coronavirus on a Plane? It usually is caused by bacterial infection, most often from growth of Staphylococcus aureus bacteria. [Medline]. Get the latest public health information from CDC: https://www.coronavirus.gov.

Connolly B, Johnstone F, Gerlinger T, Puttler E. Methicillin-resistant Staphylococcus aureus in a finger felon. Iowa Orthop J. 2009.

[Medline].

Complications are rare and usually can be prevented with prompt diagnosis and treatment. 1989 Nov. 5(4):515-23. Decompression is essential to preserve blood flow, whether or not a frank abscess has formed.

Empiric coverage for MRSA is recommended. Increased US emergency department visits for skin and soft tissue infections, and changes in antibiotic choices, during the emergence of community-associated methicillin-resistant Staphylococcus aureus. NIH [Full Text]. [Medline]. 2020 Jun 21. 214222-overview 4:499-504. This site needs JavaScript to work properly.

Data sources include IBM Watson Micromedex (updated 1 Oct 2020), Cerner Multum™ (updated 1 Oct 2020), Wolters Kluwer™ (updated 30 Sep 2020) and others.

Antibiotics both favor the selection of resistant bacteria and increase the cost of treatment.

ease. A paronychia can progress to a felon if left untreated. J Hand Surg [Am].

Antibiotics; Antibiotiques; Felon; Panaris; Paronychia; Périonyxis; Traitement; Treatment. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvNzgyNTM3LXRyZWF0bWVudA==. Treatment of felons. The incision should not cross the distal interphalangeal (DIP) joint to prevent formation of a flexion contracture at the DIP flexion crease. Chir Narzadow Ruchu Ortop Pol. Then he or she will make one or more small cuts in the tip of your finger to allow the pus to drain out. Diseases & Conditions, 2002

Canales FL, Newmeyer WL, Kilgore ES.

An orthopedist or hand surgeon should be consulted for more complex cases, especially when there is concern for osteomyelitis or flexor tenosynovitis. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. The felon should be incised in the area of maximum swelling and tenderness.

NLM

2013 Oct. 44(4):625-34. Select one or more newsletters to continue.

The most common organism involved is S aureus, accounting for around 80% of cases.

There were 26 cases of paronychia, 3 cases of felon and 17 patients presenting both paronychia and felon. The treatment of felons and paronychias.

Adequate early treatment of a felon can prevent abscess formation and other serious complications.

Felon is an infection of the pulp space of the distal portion of a finger or toe near the nail bed, which is usually due to puncture wound. J Drugs Dermatol. Felons are usually treated with minor surgery to allow drainage. Jon Mark Hirshon, MD, PhD, MPH Professor, Department of Emergency Medicine, University of Maryland School of Medicine For further information, see Hand, Paronychia Drainage. In: StatPearls [Internet]. Follow-up took place on the day after surgery, at days 7, 14, 21 and 45. Incise only the skin.
The diagnosis of which stage the felon is in can be very difficult, because they both are red, swollen, and very painful, and the treatment is completely different for …

[Medline].

Watson PA, Jebson PJ.

The gauze may need to be replaced every day or two as it absorbs bacteria and debris from inside the wound. Copyright © 2016 SFCM.

Typically, your doctor will make the whole finger numb by injecting an anesthetic once into each side of your finger, just beyond the knuckle of the hand. Pack gauze loosely into the wound to prevent skin closure. Hand infections.

Elston DM. Healing may be faster with aggressive treatment. High lateral incisions, palmar longitudinal incisions, palmar transverse incisions, and hockey stick and fishmouth incisions have been recommended in the past. Prompt diagnosis and treatment of a herpetic infection may prevent complications.

If drainage and antibiotic therapy yield no improvement within 12-24 hours, consultation with a surgeon is recommended. An infection inside the tip of the finger can form an enclosed pocket of pus (or abscess) that is very painful as it expands. Do not divide vertical fascial strands (septa).

Anthony Barabas, Andrew Fleming. Hand (N Y). 1830144-overview Mouthwash Might Mitigate COVID-19 Spread, Hydroxychloroquine RCTs: 'Ethically, the Choice Is Clear'. Surgical excision of paronychia or felon without antibiotic coverage gives excellent results with only rare recurrence. Surgical consultation should be obtained if there is no improvement within 12-24 hours of conventional therapy. Fleming.

2003 Dec 1. Glen Vaughn, MD Director, Department of Emergency Medicine, Defiance Hospital.

1949.

We recorded 45 cases of healing with no complications and a single case of recurrence.

A felon causes extreme pain at the fingertip, especially when pressure is applied to the "fingerprint" surface.



Glickel SZ. Treasure Island (FL): StatPearls Publishing; 2020 Jan–. Published by Elsevier Masson SAS.

[Medline]. Am J Emerg Med. The single failure can be attributed to inadequate excision. Lateral or transverse incisions frequently cause ischemia and anesthesia by injuring one or both neurovascular bundles.

Gram stain, if available, should be used to guide therapy.

If you log out, you will be required to enter your username and password the next time you visit. Surgical treatment is required once an abscess develops, but systematic use of postoperative antibiotic therapy remains open for discussion. Apply a loose dressing, splint the finger, and elevate the hand above the heart. Trail, A.N.M. Natural history and treatment of pulp space infection and osteomyelitis of the terminal phalanx.

All cases were abscessed and uncomplicated. Jarod Fox, MD is a member of the following medical societies: American College of Physicians, Infectious Diseases Society of America, International Society for Infectious DiseasesDisclosure: Nothing to disclose.

[Medline]. Severe infections and complicated cases may require hospitalization for intravenous antibiotics and surgical drainage.

International Society for Infectious Diseases. Am Fam Physician.
Successful treatment depends above all on the completeness of the surgical excision. Kilgore ES Jr, Brown LG, Newmeyer WL.

Steven C Dronen, MD, FAAEM is a member of the following medical societies: American Academy of Emergency Medicine, Society for Academic Emergency MedicineDisclosure: Nothing to disclose.

Hijjawi JB, Dennison DG. In our current practices, we do not use antibiotic coverage following excision of uncomplicated paronychia or felon (no signs of arthritis, osteitis, flexor tenosynovitis, lymphangitis), except in potentially at-risk patients (immunosuppressed, diabetic, cardiac valve prosthesis recipient).

For severe cases, a more extensive operation may be necessary including making a small hole in the nail to allow additional drainage. Mary Catherine Bowman, MD, PhD is a member of the following medical societies: American College of Physicians, Infectious Diseases Society of AmericaDisclosure: Nothing to disclose.

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Felons caused by bacterial infections are curable with drainage and antibiotic treatment.

Avoiding contact with others who have herpes may prevent herpetic infections, though there may be no way to know in advance who has the infection.

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