TY - CHAP M1 - Book, Section TI - Chapter 108. Felon Incision and Drainage A1 - Reichman, Eric F. PY - 2013 T2 - Emergency Medicine Procedures, 2e AB - A felon is a subcutaneous infection or abscess in the pulp space on the volar surface of the distal phalanx. It is usually caused by penetrating trauma, an abrasion, spread from adjacent tissues (e.g., eponychium, osteomyelitis, or paronychia), or a minor cut with invasion of bacteria. A felon can also develop in the presence of a foreign body, such as a wood splinter or a thorn.1 It can be iatrogenic from multiple fingersticks for glucose determination.2 The offending organism is usually Staphylococcus aureus. Mixed infections and gram-negative infections may occur in the immunocompromised patient. A felon can less commonly occur on the toes. The information in this chapter can be applied to a felon of the finger or the toe. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/04/19 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=57711577 ER -