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MID-JERSEY PEDIATRICS www.midjerseypeds.com 33 Brunswick Woods Drive East Brunswick, NJ 08816 (732) 257-4330 25 Kilmer Drive Building #3, Suite 107 Morganville, NJ 07751 (732) 972-6888 FINGERNAIL/TOENAIL INFECTION (PARONYCHIA) Diagnostic Findings A collection of pus at the junction of the cuticle and the fingernail. Redness and tenderness of this area. Occasionally, pus draining from this area. Cause A paronychia is usually infected with the Staphylococcus bacteria. The cause is usually a break in the skin resulting from pulling on or chewing on the cuticle. Thumb sucking may also contribute. Expected Course With proper treatment, this infection should clear up in 7 days. Your doctor may drain the infection in the office and/or prescribe an oral antibiotic. Home Treatment Antiseptic Soaks. Soak the infected finger two -three times daily for 10 minutes in a warm soapy water or in hydrogen peroxide that has been diluted with an equal amount of water. Your doctor may prescribe an antibiotic ointment. Prevention Discourage any picking or chewing of hangnails (loose pieces of cuticle). Instead, cut these off with nail clippers. Call Our Office If: Fever or chills develop. A red streak spreads beyond the cuticle. The finger pad becomes swollen and tender. The infection is not improved by 48 hours on home treatment. The infection is not totally cleared up by 7 days. You have other concerns or questions.