A 40-year-old right-handed man employed as a laborer presents with a 7-day history
of progressive pain, erythema, and swelling over the volar surface of the index finger.
On history taking, the patient notes incurring a small superficial laceration over
the same area of his finger 10 days previously. He was given a prescription for cephalexin
and discharged home. He returned 3 days later with worsening symptoms including swelling,
fluctuance, and tenderness with manipulation of the finger. He had incision and drainage,
and intraoperative cultures were identified to be methicillin-resistant Staphylococcus aureus (MRSA).
Educational Objectives
- •List the most common pathogenic organisms in the hand.
- •Describe the risk factors of MRSA infections.
- •State the Center for Disease control recommendations regarding empiric coverage for MRSA.
- •List the antibiotics effective in treating MRSA.
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Article info
Publication history
Accepted:
October 22,
2009
Received:
October 11,
2009
Footnotes
No benefits in any form have been received or will be received related directly or indirectly to the subject of this article.
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Copyright
© 2010 Published by Elsevier Inc.
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