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Palm abscess

Case contributed by Dr Balint Botz

Presentation

Painful subcutaneous nodular mass in the right palm that developed in two weeks.

Patient Data

Age: 50 years
Gender: Male
Ultrasound

A very superficial, circumscribed subcutaneous lesion is demonstrated containing echogenic, and almost completely anechoic, fluid-filled regions, with no significant increase of local vascularity.

Ultrasound

The appearance of the lesion can be better appreciated in the cine loop. 

Case Discussion

The lesion was described as a partially demarcated abscess, and was consequently surgically resected, during which it was found to contain a collection of pus and debris. Microbiological analysis demonstrated the presence of Finegoldia magna, an anaerobic bacterium that is part of the GI/GU normal flora. 

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Case information

rID: 60175
Published: 10th May 2018
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included
Institution: University of Pécs

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