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Clinical

Diagnosing nail infections

Nail infection
Common nail infections may be acquired through ordinary activities such as gardening or cleaning and require accurate differential diagnosis followed by swift, appropriate treatment, writes Dr Jean Watkins

Acute Paronychia

Acute paronychia presents with the sudden onset of pain, inflammation, swelling and tenderness in the nail fold. It is a common problem that may occur at any age. It is a caused by a bacterial infection, usually Staphylococcus aureus (S. aureus) or a streptococcus, that gains access through some breach of the nail fold.

As a result, acute paronychia is more common in people who bite their nails, those with a skin condition such as eczema or people who continually have wet hands such as cleaners and gardeners. People with diabetes are also more susceptible to the condition. An early cellulitis may progress to form and abscess.

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