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Journal of Hand Surgery (British and European Volume)
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Articles

Paronychia: a Mixed Infection

Microbiology and Management

I. BROOK

From 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)
DOI: 10.1016/0266-7681(93)90063-L


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