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Paronychia: a Mixed InfectionMicrobiology and ManagementFrom the Department of Paediatrics, Navy Hospital, Bethesda, Maryland, and Georgetown University, Washington, DC, USA
Cultures of paronychia of the fingers have grown aerobic and anaerobic bacteria. Each was recovered individually in only about a quarter of the patients and a mixed aerobic/anaerobic flora was isolated in half of the patients. The predominant anaerobic organisms were Gram-positive anaerobic cocci, Bacteroides species and Fusobacterium species. The predominant aerobic organisms were Staphylococcus aureus, gamma-haemolytic streptococci, Eikenella corrodens, group A beta-hemolytic streptococci, alpha-hemolytic streptococci, and Klebsiella pneumoniae. Candida albicans was recovered in about 15% of the cases. The management of this infection is discussed.
Journal of Hand Surgery (British and European Volume), Vol. 18, No. 3,
358-359 (1993) |
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