Green Nails, Red Alert: An Unusual Exit site infection Presentation
- Takuto Nakamura 1, Marino Yamauchi 2, Shinichiro Sonoda 2, Daigo Aharen 2, Masaki Ikemura 2, Kentaro Kohagura 3, Kenya Kusunose 2
- 1Department of Internal Medicine, Nishizaki Hospital, Okinawa, Japan.
- 2Department of Cardiovascular Medicine, Nephrology and Neurology, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan.
- 3Department of Nephrology, Dialysis Unit, University Hospital of the Ryukyus, Okinawa, Japan.
- 0Department of Internal Medicine, Nishizaki Hospital, Okinawa, Japan.
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View abstract on PubMed
Summary
This summary is machine-generated.Green nail syndrome, an infection by Pseudomonas aeruginosa, rarely occurs with peritoneal dialysis exit site infections. Prompt nail assessment is crucial for early detection and treatment in dialysis patients.
Area Of Science
- Infectious Diseases
- Nephrology
- Microbiology
Background
- Green nail syndrome is an infectious nail disorder typically caused by Pseudomonas aeruginosa.
- Peritoneal dialysis (PD) is a common treatment for kidney failure.
- Exit site infection (ESI) is a potential complication of PD.
Observation
- A rare case of PD ESI co-occurring with P. aeruginosa-associated green nail syndrome is presented.
- The patient exhibited symptoms of both conditions simultaneously.
Findings
- The co-occurrence of green nail syndrome and PD ESI is uncommon.
- Successful treatment was achieved with oral and topical antibiotics.
- PD catheter removal was not necessary for recovery.
Implications
- Highlights the importance of including nail assessment in the evaluation of PD patients with suspected ESI.
- Suggests a potential link between P. aeruginosa ESI and nail infections.
- Emphasizes conservative management strategies for such cases.
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