Green Nails, Red Alert: An Unusual Exit site infection Presentation

Author:

Nakamura Takuto1ORCID,Yamauchi Marino2,Sonoda Shinichiro2,Aharen Daigo2,Ikemura Masaki2,Kohagura Kentaro3,Kusunose Kenya2

Affiliation:

1. Department of Internal Medicine, Nishizaki Hospital, Okinawa, Japan

2. Department of Cardiovascular Medicine, Nephrology and Neurology, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan

3. Department of Nephrology, Dialysis Unit, University Hospital of the Ryukyus, 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.

Publisher

SAGE Publications

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