I am an HIV patient, and I suspect paronychia in my fingernail, which is very painful. Kindly help.

Q. How to manage painful paronychia in an HIV patient?

Answered by
Dr. Shubadeep Debabrata Sinha
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Aug 11, 2022 and last reviewed on: Jul 12, 2023

Hello doctor,

I think I have an infection in my fingernail. I am HIV positive and have been taking medications. It may be paronychia and is very painful



Welcome to icliniq.com.

Please send details of the medications that you were taking and the prescriptions. Besides the picture you shared (attachments removed to protect the patient's identity), what are the discomforting symptoms that you are having at this time? And since when you have the suspected nail infection. Are you having any pus?

I recommend the following:

1. Warm water soaking of the affected finger for 3 to 4 daily until symptoms resolve.

2. Avoid inciting factors such as exposure to moist environments or skin irritants.

3. Keeping the affected lesion dry is essential for proper recovery.

4. Avoid any nail manipulation, such as manicuring, finger sucking, or attempting to incise and drain the lesion.

Investigations to be done:

Local check-up by a hand surgeon

Differential diagnosis:

Fungal paronychia

Probable diagnosis:

Bacterial paronychia

Treatment plan:

Ointment Mupirocin 2% once daily for 15 days

Ointment Clotrimazole 1% once daily for 14 days

Apply both ointments after warm water soaking on the nails.

I also suggest

Tablet Amoxycillin 500 mg and Clavulanate 125 mg one tablet twice daily for five days.

The patient will probably need a prescription from the local physician to source it from the pharmacy. So consult the doctor and take medicine.

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