Ultrasound and magnetic resonance image findings in a patient with a subungual abscess: A case report

Author:

Nakabayashi Akihiko1ORCID,Tsujii Atsuko1,Kim Dong‐seop1,Tamada Tatsuya1,Yoshimura Maiko1,Isoda Kentaro12,Ohshima Shiro12

Affiliation:

1. Department of Rheumatology National Hospital Organization Osaka Minami Medical Center Osaka Japan

2. Department of Clinical Research National Hospital Organization Osaka Minami Medical Center Osaka Japan

Abstract

Key Clinical MessageSubungual abscesses are rare, and information about them through imaging findings is lacking. Carbon dioxide laser drainage and antibiotics are effective treatment strategies for subungual abscesses. We report a case of a 47‐year‐old male healthcare worker with a subungual abscess that improved after manual drainage alone. Ultrasound and magnetic resonance images showed a tumor (with blood flow) between the nail plate and distal phalanx. Culture tests revealed Staphylococcus aureus. The patient's symptoms resolved quickly and the nail returned to normal after 4 months. This is possibly the first report of a subungual abscess with ultrasound and magnetic resonance imaging findings.

Publisher

Wiley

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