207. A Rock Climber with Finger Pain, Swelling, and Redness

  1. Christopher P. Holstege MD1,2,3,
  2. Alexander B. Baer MD1,4,
  3. Jesse M. Pines MD, MBA, MSCE5,6 and
  4. William J. Brady MD7,8,9

Published Online: 3 AUG 2011

DOI: 10.1002/9781444397994.ch207

Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition

Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition

How to Cite

Holstege, C. P., Baer, A. B., Pines, J. M. and Brady, W. J. (eds) (2011) A Rock Climber with Finger Pain, Swelling, and Redness, in Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition, Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444397994.ch207

Editor Information

  1. 1

    Division of Medical Toxicology, University of Virginia School of Medicine, Charlottesville, VA, USA

  2. 2

    Blue Ridge Poison Center, University of Virginia School of Medicine, Charlottesville, VA, USA

  3. 3

    Departments of Emergency Medicine & Pediatrics, University of Virginia School of Medicine, Charlottesville, VA, USA

  4. 4

    Department of Emergency Medicine, University of Virginia School of Medicine, Charlottesville, VA, USA

  5. 5

    Center for Health Care Quality, George Washington University, Washington, DC, USA

  6. 6

    Departments of Emergency Medicine and Health Policy, George Washington University, Washington, DC, USA

  7. 7

    Department of Emergency Medicine, University of Virginia, Charlottesville, VA, USA

  8. 8

    Center for Emergency Management, University of Virginia Health System, Charlottesville, VA, USA

  9. 9

    Charlottesville-Albemarle Rescue Squad & Albemarle County, Fire Rescue, Charlottesville, VA, USA

Publication History

  1. Published Online: 3 AUG 2011
  2. Published Print: 12 AUG 2011

ISBN Information

Print ISBN: 9781444333473

Online ISBN: 9781444397994

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Keywords:

  • Case 97, a rock climber with finger pain - swelling and redness;
  • diagnosis - bilateral paronychia;
  • erythema and superficial skin necrosis - on patient's first digits bilaterally;
  • copious pus, from wounds - bacterial cultures, taken at that time;
  • culture results, 3+ group A beta-hemolytic Streptococcus pyogenes;
  • paronychia, common malady of hand - individuals, repeated trauma to cuticular area;
  • Staphylococcus aureus, associated with acute paronychia - and CA-MRSA, of soft tissue infections;
  • Streptococcus pyogenes, also a frequent pathogen - being considered;
  • paronychia, resulting - from disruption of nail cuticle;
  • choice of antibiotic, reflecting mechanism of injury - Gram stain results, and culture when available