TY - CHAP M1 - Book, Section TI - Abscess A1 - Usatine, Richard P. A2 - Usatine, Richard P. A2 - Sabella, Camille A2 - Smith, Mindy Ann A2 - Mayeaux, E.J. A2 - Chumley, Heidi S. A2 - Appachi, Elumalai PY - 2015 T2 - The Color Atlas of Pediatrics AB - A 2-year-old girl in Ethiopia is brought to see the visiting American doctor for a painful swollen hand. The hand was massively swollen and the child did not want to use it. On examination she had a temperature of 99ยบ F and there was visible pus under the skin (Figure 104-1). An incision and drainage was performed and much pus and blood squirted from the abscess. The abscess was packed lightly to stop any bleeding and to prevent it from closing prematurely. Oral antibiotics were given to cover the surrounding cellulitis and any deeper infections. A culture to look for methicillin-resistant Staphylococcus aureus (MRSA) was not available in rural Ethiopia, but close follow-up was set for the next day and the patient was doing much better. The medical team performed twice daily home visits and administered the oral trimethoprim-sulfamethoxazole while changing the dressings. Within one week, the child was playing happily, the erythema and swelling were resolving, and she was beginning to use her hand again. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1114874622 ER -