Dominique Woodly T, Obasi Ebere, Sidhu Shubman
Internal Medicine, Valley Health System, Las Vegas, USA.
Family Medicine, Memorial Health, Savannah, USA.
Cureus. 2025 May 3;17(5):e83382. doi: 10.7759/cureus.83382. eCollection 2025 May.
This case report discusses a rare occurrence of chloronychia, or green nail syndrome, in a young woman in her 20s with a recent -induced ear infection. Green nail syndrome is characterized by green nail plate discoloration, proximal paronychia, and distal onycholysis. The patient's infection likely originated from her recent ear infections and resulted in green discoloration on her right index fingernail. Her medical history revealed a complex ear infection treated with ciprofloxacin, clindamycin, and morphine. However, after the resolution of her ear infection, the patient presented with a prominent green discoloration in her finger with mild inflammation. She was treated with ciprofloxacin topical solution and bleach soaks, which led to the resolution of the symptoms. , an opportunistic bacterium, uncommonly causes nail infections, though rarely documented in younger patients. In this case, it spread from the ear to the fingernail, emphasizing the bacterium's opportunistic nature.
本病例报告讨论了一名20多岁的年轻女性罕见出现的绿甲症，即绿指甲综合征，她近期患有耳部感染。绿指甲综合征的特征为指甲板变绿、近端甲沟炎和远端甲剥离。患者的感染可能源于其近期的耳部感染，并导致右手食指指甲变绿。她的病史显示曾因复杂的耳部感染接受环丙沙星、克林霉素和吗啡治疗。然而，在耳部感染痊愈后，患者手指出现明显的绿色变色，并伴有轻度炎症。她接受了环丙沙星外用溶液和漂白剂浸泡治疗，症状得以缓解。 ，一种机会性细菌，很少引起指甲感染，在年轻患者中鲜有记录。在本病例中它从耳部扩散到指甲，凸显了该细菌的机会性本质。
