Purulent Paronychia

Purulent paronychia is acute bacterial infection of nail fold (Staph aureus/Strep), presenting with pain, swelling, erythema, and pus at nail margin. Treatment: warm soaks; elevation; topical mupirocin; incision/drainage if fluctuant/abscess; oral anti-staph/strep antibiotics (cephalexin/clindamycin) if extensive/spreading; partial nail removal if ingrown; avoid nail-biting; monitor for osteomyelitis/felon; follow-up.

Common Symptoms

Pain; swelling; erythema; pus at nail fold; staph/strep

Causes and Pathogenesis

Nail-fold trauma/biting allows bacterial invasion causing purulent infection.

Treatment

Warm soaks; incision+drainage; oral antibiotics; nail care

Preventive Measures

Avoid nail-biting; keep nails clean; treat hangnails.

Department to Visit

It is recommended to visit the Dermatology/General-surgery/Orthopedics department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.