What are treatment options for nongonococcal infectious tenosynovitis?

Updated: Aug 27, 2018
  • Author: Mark R Foster, MD, PhD, FACS; Chief Editor: Harris Gellman, MD  more...
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Answer

If the diagnosis is equivocal, consultation with a hand specialist (eg, plastic surgery or orthopedics) and the use of elevation and broad-spectrum antibiotics that include staphylococcal coverage, streptococcal coverage, or both are necessary. Add anaerobic coverage if anaerobic infection is likely (ie, with cat or human bites). If the diagnosis of tenosynovitis is definite, refer the patient to a hand specialist for urgent surgical incision and drainage.


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