Clinical and cytologic features of antibiotic-resistant acute paronychia

Durdu, Murat; Ruocco, Vincenzo

doi:10.1016/j.jaad.2013.09.042

Cited by 25 publications

(6 citation statements)

References 26 publications

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“…In the presented material, nail fold infection was more frequently observed among women, which is confirmed in the literature [5, 12]. Usually mixed infections caused by 2 to 5 different pathogens were observed (73% of the samples), similarly to previous studies [1, 16].…”

Section: Discussionsupporting

confidence: 90%

Microbiological analysis of acute infections of the nail fold on the basis of bait thread test

Tomczak

Dańczak‐Pazdrowska

Polańska

et al. 2017

pdia

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IntroductionAn acute infection of the nail fold, called paronychia, is a common clinical problem. The basis for the implementation of the treatment is the result of microbiological examination. Due to the rapid and painful course of infection, usually an empirical antimicrobial treatment prior to obtaining microbiological test results is introduced.AimThe microbial analysis of acute infections of the nail fold.Material and methodsThe study included 32 tests conducted on 31 patients of the Department of Dermatology. Microbiological analysis was performed with the use of the so-called bait thread test.ResultsIn 73% of analyzed cases microbiological examination revealed mixed microbiological flora. Most cultured microorganisms were: Enterococcus faecalis (14%), Staphylococcus aureus (12%), Candida albicans (9%), Enterobacter cloacae (8%), and Klebsiella pneumoniae (7%). Most cultured bacteria belonged to the families or genera of Enterobacteriaceae (36%), other cultured bacteria were staphylococci (26%), enterococci (16%), Candida species (14%), and Gram-negative non-fermenting bacilli (8%).ConclusionsThe acute infection of the nail fold in the vast majority of cases is caused by mixed bacterial flora. A profile of isolated microorganisms suggests that the cause of the infection can be associated with neglect of hygiene. Fluoroquinolone and fusidic acid are recommended as the empirical therapy. Microbiological examination is the basis for the appropriate final treatment.

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Section: Discussionsupporting

confidence: 90%

Microbiological analysis of acute infections of the nail fold on the basis of bait thread test

Tomczak

Dańczak‐Pazdrowska

Polańska

et al. 2017

pdia

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“…The most common symptoms of nail apparatus PV are paronychia (60%) and onychomadesis (30%) ( 31 ), what partially was also confirmed in our study (100, 44.44%, respectively). The most common causes of acute inflammation of the periungual folds include bacterial ( Streptococci, S. aureus ), viral (herpetic withlow) and fungal infections ( Fusarium, Candida, Neoscytalidum ), while drugs (including chemotherapy and targeted therapy) ( 49 ) and PV were reported to be the joint 4th most common cause (5% of all cases) ( 37 , 50 ). Paronychia or paronychia mimics may also be triggered by several various pathologies: trauma (ingrown nail, nail biting, nail-sucking), parasitic infections, psoriasis (proximal nailfold psoriasis, acrodermatitis continua Hallopeau), neoplasms, and benign tumors.…”

Section: Discussionmentioning

confidence: 99%

Involvement of Nail Apparatus in Pemphigus Vulgaris in Ethnic Poles Is Infrequent

et al. 2018

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Pemphigus vulgaris lesions have a tendency to localize around natural body orifices. The aim here was to analyze the involvement of nail apparatus in pemphigus vulgaris. Sixty seven ethnic Poles suffering from pemphigus vulgaris on photographic files archiving initial presentation were retrospectively evaluated. Pemphigus vulgaris was diagnosed using combination of clinical data, H+E histology, direct immunofluorescence of plucked scalp hair and/or perilesional tissue also for IgG1 and IgG4 deposits evaluation, indirect immunofluorescence on mosaic substrate and/or monkey esophagus, mono-analyte ELISA with desmoglein 1/3 or multi-analyte ELISA. The nail apparatus involvement was found in 9 of 67 patients (13.4%; 3 females and 6 males). Periungual fingernail lesions were found in 6 patients (2 females, 4 males), whereas periungual toenail lesions in just 3 patients (1 female, 2 males). Our patients nail apparatus changes included, by order of frequency, paronychia, nail discoloration, onychorrhexis, Beau lines, periungual hemorrhages, onychomadesis, cross-ridging, onycholysis, and trachyonychia. The average time between the onset, as recalled by patients, and the diagnosis of pemphigus vulgaris with direct immunofluorescence was not statistically different in PV patients with and without nail apparatus lesions. In this article the molecular and immunological rationale for of periungual involvement is discussed. Our single-center study suggests that nail apparatus involvement is infrequent in pemphigus vulgaris in ethnic Poles. Due to the fact that nail apparatus lesions in pemphigus vulgaris may clinically resemble onychomycosis, giving the proper diagnosis can be difficult particularly when other lesions are overlooked or misinterpreted.

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“…Bu retrospektif araştırmada antibiyotiğe dirençli akut paronişi bulunan 58 hastanın % 62'si çocuk ve ergenlerden oluşmakta olup, eşlik eden en sık faktörler parmak emme ve tırnak koparma olarak saptanmıştır. Bakteriyel, herpetik veya kandidal paronişilerle karşılaştırıldığında parmak emme ve tırnak koparmanın paronişiye daha fazla zemin hazırladığı bulunmuştur (7). Tırnak koparma tedavilerinin çoğu davranışçı ve bilişsel davranış tedavisi seçeneklerine odaklanmakta, bu konuda sınırlı sayıda araştırma bulunmaktadır (1,(8)(9)(10)(11).…”

Section: Discussionunclassified

Okul Öncesi̇ Dönemde Tirnak Koparma Davranişina Yaklaşim: Olgu Sunumu

et al. 2016

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Nail biting behavior is a common problem in childhood. Nail biting behavior which is associated with severe anxiety disorders may occur as a result of emotional and/or physical abuse. This behavior problem has negative effects on physical and psychological health of children. Tooth root damage, malocclusion, jaw disorders and parasitosis may develop in severe cases. There are controversial approaches for the treatment. The nail biting behavior of a 57-monthold boy was issued by his parent during the well-child visit. There was no pathological sign in the examination of the patient, who later was directed to the Child Development and Education specialist. His development was already evaluated as age-appropriate with various developmental screening tests during his previous controls. In the patient's detailed history, it was ascertained that the nail biting behavior has developed after the verbal and potential physical violence that had been applied by his mother one year ago. Knowing the fact that this behavior was an anxiety linked disorder, several meetings had been carried out separately with the mother, the child and his brother. While behavioral therapy was being applied to the patient, approach model of the mother and other family members were schematized in the interviews. After a four month-follow-up period, it was observed that the nail biting behavior has decreased and the behavior model of the family had been corrected. Nail biting behavior should be considered and evaluated carefully in terms of children's mental health. Regular behavioral therapies and cooperation with the family members are important in the management of these cases.

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Clinical and cytologic features of antibiotic-resistant acute paronychia

Cited by 25 publications

References 26 publications

Microbiological analysis of acute infections of the nail fold on the basis of bait thread test

Microbiological analysis of acute infections of the nail fold on the basis of bait thread test

Involvement of Nail Apparatus in Pemphigus Vulgaris in Ethnic Poles Is Infrequent

Okul Öncesi̇ Dönemde Tirnak Koparma Davranişina Yaklaşim: Olgu Sunumu

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