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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain,swelling And Redness In Thump?

A 20 year-old mother stuck her left thumb on a safety pin while changing her infant’s diaper. The puncture was on the palmar aspect of the distal segment of the thumb near the interphalangeal crease. Within two days there was severe pain and swelling in the thumb with some redness just above the wrist on the volar aspect. The patient also reported that she had been proned to minor accidents in her household activities recently. 1. What could have caused the changes observed in the region of the left hand after the pin prick? 2. Which bacteria are likely to be the cause of the inflammation in this case? 3. How could this case be effectively treated? Should a surgical intervention become necessary, which anatomical structures would need careful attention?
posted on Fri, 14 Mar 2014
Twitter Thu, 9 Apr 2020 Answered on
Twitter Fri, 17 Apr 2020 Last reviewed on
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Cardiologist,  's  Response
Hello,

There are many type of bacteria like staphilococus epidermidis, and other bacteria present in the skin, which can cause the infection. Tetanus can not be excluded either. Coming to this point, if the infection is local, I would recommend alcohol local packs and a antibiotic ointment like neomycine or tetracycline.

If the swelling persists and even progresses toward the palm of the hand, surgery to open it and oral antibiotics may be needed. You should discuss with the doctor on the above issues.

Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Ilir Sharka, Cardiologist
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What Causes Pain,swelling And Redness In Thump?

Hello, There are many type of bacteria like staphilococus epidermidis, and other bacteria present in the skin, which can cause the infection. Tetanus can not be excluded either. Coming to this point, if the infection is local, I would recommend alcohol local packs and a antibiotic ointment like neomycine or tetracycline. If the swelling persists and even progresses toward the palm of the hand, surgery to open it and oral antibiotics may be needed. You should discuss with the doctor on the above issues. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist