Hand Infection Treatment Bangor ME

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Richard J Mazzei
(207) 947-2788
77 Broadway
Bango, ME
Specialty
Orthopedic Surgery

Data Provided By:
David Barnes Carmack, MD
(207) 973-4949
417 State St Ste 430
Bangor, ME
Specialties
Orthopedics
Gender
Male
Education
Medical School: Columbia Univ Coll Of Physicians And Surgeons, New York Ny 10032
Graduation Year: 1992
Hospital
Hospital: Sacred Heart Hospital, Cumberland, Md
Group Practice: Shock Trauma Assoc Pa; Shock Trauma Associates Pa

Data Provided By:
James F Lawsing III, MD
(207) 947-2956
417 State St Ste 209
Bangor, ME
Specialties
Orthopedics
Gender
Male
Education
Medical School: Boston Univ Sch Of Med, Boston Ma 02118
Graduation Year: 1969

Data Provided By:
Richard Joseph Mazzei, MD
(207) 947-2788
77 Broadway
Bangor, ME
Specialties
Orthopedics
Gender
Male
Education
Medical School: Wayne State Univ Sch Of Med, Detroit Mi 48201
Graduation Year: 1970

Data Provided By:
John Dorman West III, MD
(207) 945-6695
417 State St Ste 209
Bangor, ME
Specialties
Orthopedics
Gender
Male
Education
Medical School: Dartmouth Med, Hanover Nh 03755
Graduation Year: 1987

Data Provided By:
Daniel Thompson Mc Guire, MD
(207) 947-8381
404 State St Ste 610
Bangor, ME
Specialties
Orthopedics
Gender
Male
Education
Medical School: Georgetown Univ Sch Of Med, Washington Dc 20007
Graduation Year: 1990

Data Provided By:
Garrett Rines Martin, MD
(207) 947-8381
404 State St Ste 610
Bangor, ME
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Auto De Guadalajara, Fac De Med, Guadalajara, Jalisco, Mexico
Graduation Year: 1978
Hospital
Hospital: Eastern Maine Med Ctr, Bangor, Me; St Joseph Hospital, Bangor, Me
Group Practice: Down East Orthopedic Assoc

Data Provided By:
John Mark Roberts, MD
(207) 945-3496
404 State St Ste 500
Bangor, ME
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Wi Med Sch, Madison Wi 53706
Graduation Year: 1977

Data Provided By:
Daniel T McGuire
(207) 947-8381
404 State St
Bangor, ME
Specialty
Orthopedic Surgery

Data Provided By:
Howard Gary Parker, MD
(207) 990-4625
358 Broadway Ste 100
Bangor, ME
Specialties
Orthopedics
Gender
Male
Education
Medical School: Dalhousie Univ, Fac Of Med, Halifax, Ns, Canada
Graduation Year: 1967
Hospital
Hospital: Eastern Maine Med Ctr, Bangor, Me; St Joseph Hospital, Bangor, Me

Data Provided By:
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Diagnosis and Treatment of Hand Infections

In this article, hand surgeons from the Walter Reed National Military Medical Center in Washington, D.C. offer us a review of rare, but potentially disabling hand infections. They focus on two infections of the wrist, hand, or fingers: osteomyelitis and septic arthritis. Causes, type of bacteria involved, patient symptoms, diagnosis, and treatment are summarized for each condition. Complications with and without treatment are also presented.

Osteomyelitis is an infection of the bone or bone marrow that can affect the hand. The most common infecting bacteria are staph, strep, and e coli. Undiagnosed, delayed diagnosis, or untreated, any of these infectious agents can cause destruction of the joint. Loss of motion, impaired function, and eventual arthritis with pain, stiffness, and disability can occur. The disease process can get so bad, a person can lose the affected hand.

How does a person get osteomyelitis of the hand or wrist? There are three main mechanisms: 1) puncture wounds (e.g., human bites, thorns, fractures, and surgery), 2) spread from infection of nearby soft tissues, and 3) spread through the blood system from any other infection in the body.

The immune system sets up an inflammatory response and tries to wall off the infection. In the healthy child or adult, this reaction may be enough to take care of the problem. But malnutrition, smoking, medications that suppress the immune system, and cancer or other health problems can put the patient at a disadvantage for self-healing.

In the case of one particular bacteria (methicillin resistant Staphylococcus aureus or MRSA, pronounced "mersa"), even healthy people can be affected. Tissue invasion and severe bone destruction can occur quickly. That's why early diagnosis and immediate treatment is recommended for hand infections of this type.

How does the hand surgeon know a patient has an osteomyelitis-linked hand infection? There are usually visual signs (swelling, redness, warmth) and pain. The patient may have a fever with chills and fatigue. These flu-like symptoms are a red flag of systemic (system-wide) infection. Blood tests and imaging studies possibly including X-rays, bone scans, PET scans, MRIs, and other more advanced imaging aid in making the diagnosis.

Once it's clear what the surgeon is dealing with, then treatment begins. Antibiotics may be all that's needed if the problem is identified and caught early. But most of the time, surgery is needed to debride (clean out) the area. This surgical procedure is followed by a course of antibiotics as well.

It may be necessary to perform more than one debridement, a process called serial debridement. Serial debridement is done until the affected area is clear of infection. The whole process can take six weeks or more. If the infection has occurred around an implant (e.g., joint replacement or hardware used to repair a fracture), the implant may have to be removed before debridement and antibiot...

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