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Updated: Jul 1, 2025

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Green Nails, Red Alert: An Unusual Exit site infection Presentation
Takuto Nakamura1, Marino Yamauchi2, Shinichiro Sonoda2
1Department of Internal Medicine, Nishizaki Hospital, Okinawa, Japan.
Abstract:
Green nail syndrome is an infectious nail disorder caused most commonly by Pseudomonas aeruginosa. We report a rare case of peritoneal dialysis (PD) exit site infection (ESI) accompanied by P. aeruginosa-associated green nail syndrome. The patient was treated with oral and topical antibiotics without the need for PD catheter removal. We aim to emphasise the importance of nail assessment for ESI in patients undergoing PD.
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