PMC10206417_01
Patient's affected area findings. (1-A) At the time of the first visit to our clinic. Swelling around the nail cage was observed and skin discoloration was observed. (1-B) Three days after the initial visit. The swelling and discoloration area extended to the center of the finger and the local findings worsened.
gr1.jpg
PMC10206417_01_gr1.jpg
fig0005
He was prescribed cefcapene pivoxil for 3 days (100 mg three times/day), but he visited our clinic in mid-June due to worsening of local findings (Figs. 1-1). The patient complained of further swelling and worsening of local initial findings and returned to the clinic 3 days later (Fig. 1, Fig. 2).
White blood cell counts, C-reactive protein and hemoglobin A1c values based on the clinical course of the patient from June 14 to July 14, 2022.
gr2.jpg
PMC10206417_01_gr2.jpg
fig0010
A large amount of P. bettyae and a small amount of Streptococcus anginosus were detected in the pus specimen from the initial visit, and bacterial infection was observed, so the patient was switched from minomycin to oral clavulanate/amoxicillin for 3 days (125 g/500 g three times/day) before the drug sensitivity results were available (Fig. 2).