Hand deep space infection
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Background
- Volar surface contains potential deep spaces that may become infected
- Dorsal aspect contains the veins and lymphatics; will always swell whenever there is an inflammatory process
Clinical Features
- Tenderness, induration, or fluctuance over volar aspect of hand
- Pain with range of motion of digits
Differential Diagnosis
Hand and finger infections
- Bed bugs
- Closed fist infection (Fight Bite)
- Hand cellulitis
- Hand deep space infection
- Hand-foot-and-mouth disease
- Herpetic whitlow
- Felon
- Flexor tenosynovitis
- Paronychia
- Scabies
- Sporotrichosis
Look-Alikes
Management
- Parenteral antibiotics
- Hand surgeon consult