![]() ![]() ![]() The distal two-thirds of the left thumbnail showing dark-greenish pigmentation and onycholysis.ĭirect light microscopy of a sample from the clipped nail debridement was negative for fungal hyphae or spores. Herein, we recommend the application of tobramycin eye drop as an easy and safe treatment option for green nail syndrome. Three weeks later, the nail discoloration almost vanished but the onycholysis remained. The diagnosis of green nail syndrome was established after a positive bacterial culture, and on the basis of the antibiotic sensitivity test result, tobramycin eye drop (Tobrex®) was then prescribed. He had been treated with oral antifungal and antibiotic agents for several months however, the lesion showed no improvement. A 35-year-old man presented with dark-greenish discoloration of the nail plate and onycholysis on the left thumbnail. Despite the various treatment options available, removal of the nail is still necessary in many cases. Pseudomonas aeruginosa is the most commonly identified organism in cultures from the affected area. This condition is often associated with chronic paronychia. Green nail syndrome (chromonychia) is a nail disorder characterized by onycholysis and green-black discoloration of the nail bed. ![]()
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