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

How to manage painful paronychia in an HIV patient?

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Published At August 11, 2022
Reviewed AtJuly 12, 2023

Patient's Query

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

Hello,

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.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Shubadeep Debabrata Sinha
Dr. Shubadeep Debabrata Sinha

Infectious Diseases

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