Green nails, also known as chloronychia or green nail syndrome, are characterized by green discoloration of the nail plate.People whose hands are constantly exposed to water, soaps, and detergents are more likely to be affected by the cause.If the nails are green or black, it’s a good idea to have them treated with an oral quinolone.There are three cases of green nails in elderly people.
A 67-year-old retired man developed a greenish discolored nail plate over the course of 2 months.There was a history of nail trauma that may have been caused by tight shoes.Mild onychodystrophy of the entire nail plate, as well as greenish-black discoloration, were found in the dermatologic examination.
The culture of nail scrapers was positive.It was excluded by the preparation and culture of potassium hydroxide.After 6 weeks, the nail plate was cured.
A 68-year-old gardener was seen during the summer, after working in wet conditions, for green discoloration of his right finger nail, slight pruritus, and pain.There were signs of onycholysis on the nail plate starting from the edge.
The culture of nail scrapers was positive for P. aeruginosa.There was no evidence of a co 888-405-7720 888-405-7720After cutting the nail plate and applying gentamicin twice daily for a month, the results were positive.
A 56-year-old man was diagnosed with toenail onychomycosis a year before he developed a greenish discoloration of the entire nail plate.Subungual hyperkeratosis was the only sign of paronychia.
The culture of nail scrapers was positive for P. aeruginosa.Culture was positive for the Trichophyton rubrum.Itraconazole was used for 14 days per month for 3 months.The antibiotic ciprofloxacin was given for 3 weeks to cure the infections.
Klebsiella spp. and P. aeruginosa can both cause infections of the nails.The most common pathogen causing nail infections is P. aeruginosa.In nature, these pathogens are found in soil, water, plants, and animals.
The blue-green pigments pyoverdin and pyocyanin are found in more than half of all clinical infections.It can be involved in skin and nail infections in patients with immune deficiency syndrome.Infections of the intact nail are rare because P. aeruginosa is not part of normal skin flora.moist regions of the skin, axillae, anogenital regions, and retroauricular areas are colonized by P. aeruginosa.
The nail infections caused by P. aeruginosa are not fully understood.Predisposing factors include onycholysis, onychotillomania, microtrauma to the nail-fold, chronic exposure to water, soaps, or detergents, and associated nail disorders.
When the nails are exposed to a warm and moist environment, onycholysis can occur.Psoriasis, onychomycosis, yellow nail syndrome, contact dermatitis, medications, endocrine disorders, and constant local trauma are some of the factors that have been reported.Homemakers, barbers, bakers, and medical personnel are more likely to have chloronychia, an occupationally triggered disease.
The affected nail and/or subungual debris should be sent to the laboratory for investigations.On cetrimide agar medium, P. aeruginosa expresses pyocyanin, a blue-green exopigment, and the colonies are flat, large and oval.
There is a strong correlation between the infections of the nail and the growth of P Aeruginosa in culture.
In the past, removal of the entire nail was a therapeutic option, but not nowadays.The treatment consists of cutting off the detached nail plate, brushing the nail bed with a 2% sodium hypochlorite solution twice daily, and wearing cotton and latex gloves.
It has been reported that silver sulfadiazine, ciprofloxacin, and gentamicin are useful therapeutic options.
Infections of the nails can be treated with fluoroquinolones, which do not require culture or sensitivity testing.To avoid unnecessary laboratory investigations and to save time, it is advisable to observe the color of the nails by simple clinical observation.