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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Infection In Index Finger Nail

I'm having trouble getting an infection in my index finger nail to stop. I'm on sulfamethoxazole now. This has gone the full green nail course where the nail partially rotted off - amazing, and not good for a professional guitarist. To where it has grown back. But because of this grow over it now abscesses. I'm treating it with thymol to keep it dry. Yet the tip of finger is always tender. Contradictory treatments from two different dermatologists. But the labs have shown that it was psuedomonas. At least when it was in the green nail stage
Fri, 7 Nov 2014
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General & Family Physician,  's  Response
Hello
As established in lab that this is pseudomonas infection and still using sulfamethoxazole ( this is not effective against pseudomonas).
Now nail is green and rotted but in my opinion there develop abscess .
When such case visit only incise and drain is the best treatment.
While ceftazidime ( third generation antibiotics ) is the drug of choice .
You should also take aceclofenac 200 mg twice with serratiopeptidase20 mg twice in day with pantaprazole ( for nausea and vomiting).
So in my opinion consult a surgeon and get his opinion as small incision may require .
Cold massage also help .
Hope this will help you.In such cases usually we remove nail as this is source of infection.
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Suggest Treatment For Infection In Index Finger Nail

Hello As established in lab that this is pseudomonas infection and still using sulfamethoxazole ( this is not effective against pseudomonas). Now nail is green and rotted but in my opinion there develop abscess . When such case visit only incise and drain is the best treatment. While ceftazidime ( third generation antibiotics ) is the drug of choice . You should also take aceclofenac 200 mg twice with serratiopeptidase20 mg twice in day with pantaprazole ( for nausea and vomiting). So in my opinion consult a surgeon and get his opinion as small incision may require . Cold massage also help . Hope this will help you.In such cases usually we remove nail as this is source of infection.