Symptoms
Acute circulation manifests as inflammation, which occurs in the tissues around a fingernail or toenail. Possible symptoms include redness, swelling, pain, limitation of function, and hyperthermia. A focus of pus often forms and spontaneously discharges outward or inward. In acute disease, usually only one finger is affected. Complications include detachment of the nail and spread of the infection.
Causes
The cause is usually a bacterial infection, which is caused by , streptococci, and other pathogens. The pathogens enter the tissues through minor skin injuries, which occur, for example, during nail biting, washing, manicure or manual work. Ingrown nails also often cause circulation.
Diagnosis
Diagnosis is made in medical treatment based on the clinical picture, physical examination and patient interview. By applying some pressure to the area, pus formation becomes apparent. Individuals with impaired wound healing (diabetics) or immunosuppression should seek medical attention early.
Treatment
Promote maturation and drainage:
- In the early stages, warm baths, e.g. with potassium soap, chamomile extract (e.g. Kamillosan) or mallow extract (e.g. Malvedrin).
- Train ointment, ammonium bituminosulfonate (ichthyol, e.g. in Leucen), under a bandage.
Antimicrobial treatment:
- Topical antibiotics (eg, fusidic acid) or systemic antibiotics.
- Disinfectants, e.g., vinegar, povidone–iodine, chlorhexidine.
- Possibly topical glucocorticoids to inhibit inflammation.
Pain management:
- Cold compresses or, in some circumstances, painkillers such as paracetamol or ibuprofen can be administered for symptomatic treatment of pain.
Interventions:
- Minor intervention: disinfect tire pus focus and open with sterile needle, a scalpel or with a knife, clean the wound with sterile saline, disinfect and dress. Caution: the pus is infectious.
- Major surgery under local anesthesia with local anesthetics.
