Emergency Central is a collection of disease, drug, and test information including 5-Minute Emergency Medicine Consult, Davis’s Drug, McGraw-Hill Medical’s Diagnosaurus®, Pocket Guide to Diagnostic Tests, and MEDLINE Journals created for emergency medicine professionals. Explore these free sample topics:
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- Hand infections are commonly seen in the ED.
- The range of pathology is broad and may include acute and chronic conditions.
- Serious hand infections are potential liability issues and must be handled with extreme caution.
- Referral to hand surgeon is almost always indicated.
- Bacterial infection of the hand is associated with skin pathogens:
- Staphylococcus or Streptococcus spp
- History of a puncture wound
- Anaerobes are identified in 75% of paronychia in children owing to thumb sucking and nail biting.
- Chronic paronychia may be caused by Candida albicans.
- Herpetic whitlow is caused by type 1–2 herpes simplex virus.
- Clenched fist injuries involve a variety of pathogens, including anaerobic Streptococcus and Eikenella spp.