Direct extension osteomyelitis secondary to chronic onychocryptosis. Three case reports.
The podiatric physician should be alert to the possibility of underlying bony infections in cases of chronic or neglected nail infections. X-rays should be taken when drainage has been present for 4 weeks. This will rule out bony changes as well as provide assistance in following the progression, if no improvement is seen, despite treatment.
Cox
H A
HA
American Lake Veterans Affairs Medical Center (129), Tacoma, WA 98493, USA.
Jones
R O
RO
D000293:Adolescent; D000328:Adult; D002908:Chronic Disease; D006801:Humans; D008297:Male; D009263:Nails, Ingrown / Q000150:complications*; D010019:Osteomyelitis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D011877:Radionuclide Imaging; D014034:Toes