Felon

A felon is a subcutaneous infection within the pulp space of a fingertip. The pulp consists of septa creating multiple small compartments. A pyogenic infection within this space can lead to increased pressure potentially leading to nerve and vascular compression and tissue necrosis if untreated. Bacteria are often introduced as the result of minor trauma and infection can lead to multiple small abscesses within the compartments. Complications include flexor tenosynovitis or osteomyelitis. Staphylococcal aureus is the most likely organism causing a felon, but gram stain with culture should be collected for identification. Treatment consists of incision and drainage with a longitudinal incision along the lateral or medial aspect of the pad of the finger followed by blunt dissection.