14 doctors weighed in:

I have had an infection of the finger under cuticle, red swollen for a month, it drained pus 3 days ago but now swelling is worse, what's best treatment?

14 doctors weighed in
Dr. Raymond Raven
Surgery - Hand Surgery
6 doctors agree

In brief: See a hand surgeon

In the early stages, an acute paronychia can be effectively treated with hot saline (salt) water soaks.
Antibiotics and surgery is rarely needed. In the late stages when pus has accumulated under the parionychium, incision and drainage is necessary- followed by warm saline soaks. Antibiotics may also be prescribed in this case. Chronic paronychia may require anti-fungal medication and surgery.

In brief: See a hand surgeon

In the early stages, an acute paronychia can be effectively treated with hot saline (salt) water soaks.
Antibiotics and surgery is rarely needed. In the late stages when pus has accumulated under the parionychium, incision and drainage is necessary- followed by warm saline soaks. Antibiotics may also be prescribed in this case. Chronic paronychia may require anti-fungal medication and surgery.
Dr. Raymond Raven
Dr. Raymond Raven
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Dr. Stuart Hilliard
Surgery - Hand Surgery
4 doctors agree

In brief: Chronic paronychia

This sounds like a paronychia, which is an infection of the skin around the borders of the nails.
Acutely, these can be caused by bacteria and need drainage, antibiotics and warm soaks. Infections that are recurrent or resistant to ths treatment are often caused by yeast or fungus and will need a different medication. Surgery is sometimes needed with severe infections.

In brief: Chronic paronychia

This sounds like a paronychia, which is an infection of the skin around the borders of the nails.
Acutely, these can be caused by bacteria and need drainage, antibiotics and warm soaks. Infections that are recurrent or resistant to ths treatment are often caused by yeast or fungus and will need a different medication. Surgery is sometimes needed with severe infections.
Dr. Stuart Hilliard
Dr. Stuart Hilliard
Thank
Dr. Robert Dorsey
Wound care
3 doctors agree

In brief: See a doctor

need drainage to be cultured and have portion of nail removed.

In brief: See a doctor

need drainage to be cultured and have portion of nail removed.
Dr. Robert Dorsey
Dr. Robert Dorsey
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Dr. John Leander Po
Internal Medicine - Infectious Disease
2 doctors agree

In brief: ID doc & Hand Srgn

1. The id specialist will be able to guide diagnostics and therapeutics with the help of the hand surgeon.
Though an I&D is merited (done by the hand surgeon of course) , the id specialist will recommend no antibiotic until a culture is drawn , to ensure the offending agent isn't suppressed when cultured. It may turn out the infection isn't bacterial- it may be fungal!

In brief: ID doc & Hand Srgn

1. The id specialist will be able to guide diagnostics and therapeutics with the help of the hand surgeon.
Though an I&D is merited (done by the hand surgeon of course) , the id specialist will recommend no antibiotic until a culture is drawn , to ensure the offending agent isn't suppressed when cultured. It may turn out the infection isn't bacterial- it may be fungal!
Dr. John Leander Po
Dr. John Leander Po
Thank
Dr. Annette Occhialini
Surgery - Plastics
1 doctor agrees

In brief: See doctor

You should see your doctor as this may need antibiotics or possibly surgery to drain pus.

In brief: See doctor

You should see your doctor as this may need antibiotics or possibly surgery to drain pus.
Dr. Annette Occhialini
Dr. Annette Occhialini
Thank
Dr. Michael Raemisch
Surgery - Hand Surgery
1 doctor agrees

In brief: Surgery and antibiot

Simple: surgery and antibiotics !

In brief: Surgery and antibiot

Simple: surgery and antibiotics !
Dr. Michael Raemisch
Dr. Michael Raemisch
Thank
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Dr. Christopher Crosby
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