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ISSN 2683-1678 (Print)
Órgano Oficial de la Sociedad
Latinoamericana de lnfectología Pediátrica.
Órgano de la Asociación Mexicana de
Infectología Pediátrica, A.C.
Órgano difusor de la Sociedad Española
de lnfectología

2023, Number 4

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Rev Latin Infect Pediatr 2023; 36 (4)

Green foot syndrome in an immunocompetent pediatric patient: a case report

Zurita MPM, González MRJ, Acosta HD, López ECC, Silva RH

Language: Spanish
References: 12
Page: 180-183
PDF size: 222.09 Kb.


ABSTRACT

Introduction: green foot syndrome is an infectious process caused mainly by P. aeruginosa, which grows rapidly in a humid environment and produces a greenish coloration in nails and skin. Case report: we report a case of a 13 year old male who started 48 hours prior to his evaluation, with the presence of a greenish coloration in the nail plate of the first toe of the right foot, which subsequently spreads to the forefoot and the rest of the nails plates. The diagnosis was established excluding differential diagnoses, since there was no growth of any pathogen in the culture media. Systemic antibiotic was indicated presenting improvement, with subsequent modification to oral route with ciprofloxacin, topical clindamycin at 1% and Urea at 20%. Conclusions: due to the low incidence of this pathology in the pediatric area, there are no strict recommendations or guidelines that dictate standardized treatments. The use of topical agents is successful, although systemic antibiotics are reserved in cases with large areas affected. When presenting an infection in the skin or nails with greenish coloration, it is important to suspect infection by P. aeruginosa, since in this lies the treatment of the patient.


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