Green nail syndrome: a case report and a new treatment approach
Pseudomonas tırnak enfeksiyonu, tırnakta sarı, yeşil-siyah ya da mavimsi renk değişikliklerine neden olur. Bu yayında farklı bir yaklaşımla tedavi edilen, Pseudomonas aureginosa enfeksiyonu sonucu yeşil tırnak sendromu gelişen bir olgu sunulmaktadır. Hasta daha önce çok sayıda antifungal ve antibiyotik kullandığından amikasin enjeksiyonlarıyla tedavi edildi. Tırnak matriksine 62.5 mg/gün amikasin, G-29 ince iğneyle ardışık on gün enjekte edildi. Bu tedaviyle enfekte tırnak plağı 1/3’ünde longitüdinal depresyon ile iyileşti. Buna rağmen hastamız sonuçtan memnundu.
Yeşil tırnak sendromu: olgu sunumu ve yeni bir tedavi yaklaşımı
Pseudomonas nail infection causes green, greenish-black or bluish color changes in the involved nail. Herein, we present a case of green nail syndrome related to Pseudomonas aeroginosa that was treated with a different approach. The patient was treated with amikacin injections as she had previously tried many antifungals and antibiotics. Using a G-29 fine needle, a total of 62.5 mg per day of amikacin was injected into the matrix area of the diseased nail for 10 consecutive days. The infected nail healed with a longitudinal depression at one third of the nail plate. Despite this, the patient was satisfied with the result.
___
- 1. Weinberg AN, Swartz MN. Gram negative coccal and bacillary infections. In: Fitzpatrick’s Dermatology in General Medicine (Freedberg IM, Eisen AZ, Wolff K, Austen KF, Goldsmith LA, Katz SI, Fitzpatrick TB, eds), 5th edn. New York: McGraw Hill, 1999: 2232-2240.
- 2. Greene SL, Su WP, Muller SA. Pseudomonas aeruginosa infections of the skin. Am Fam Physician 1984; 29: 193-200.
- 3. Long SS. Pseudomonas infections in infants associated with highhumidity environments. J Pediatr 2005; 146: 758.
- 4. Silvestre JF, Betloch MI. Cutaneous manifestations due to pseudomonas infection. Int J Dermatol 1999; 38: 419-431.
- 5. Agger WA, Mardan A. Pseudomonas aeruginosa infections of intact skin. Clin Infect Dis 1995; 20: 302-308.
- 6. Baran R, Dawber RPR, Tosti A, Haneke E. A Text Atlas of Nail Disorders. London: Martin Dunitz Ltd, 1997.
- 7. MacDougall C, Harpe SE, Powell JP, et al. Pseudomonas aeruginosa, Staphylococcus aureus, and fluoroquinolone use. Emerg Infect Dis 2005; 11: 1197-1204.