Chronic Polymicrobial Infectious Melanonychia Striata

Kitty Y. Wu; Gina A. Suh; Alexander Y. Shin

doi:10.2106/JBJS.CC.23.00137

Chronic Polymicrobial Infectious Melanonychia Striata

Kitty Y. Wu, Gina A. Suh, Alexander Y. Shin

Orthopedic Surgery

Research output: Contribution to journal › Article › peer-review

Abstract

Case:A 62-year-old man presented with a 10-year history of isolated melanonychia striata of his dominant thumb. Surgical biopsy ruled out subungual melanoma but revealed foreign plant material causing chronic infectious melanonychia from multiple pathogens, including Pseudomonas aeruginosa, Escherichia coli, and Candida spp. After removal of the nail plate and thorough debridement, the melanonychial streak resolved completely at 12 months of follow-up.Conclusion:Bacterial infection is a rarely reported cause of melanonychia, and in addition to surgical pathologic specimens, intraoperative fungal and bacterial cultures should always be obtained for accurate diagnosis of melanonychia striata.

Original language	English (US)
Journal	JBJS case connector
Volume	13
Issue number	2
DOIs	https://doi.org/10.2106/JBJS.CC.23.00137
State	Published - Jun 1 2023

Keywords

infectious melanonychia
isolated melanonychia striata
thumb

ASJC Scopus subject areas

Surgery
Orthopedics and Sports Medicine

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10.2106/JBJS.CC.23.00137

Cite this

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title = "Chronic Polymicrobial Infectious Melanonychia Striata",

abstract = "Case:A 62-year-old man presented with a 10-year history of isolated melanonychia striata of his dominant thumb. Surgical biopsy ruled out subungual melanoma but revealed foreign plant material causing chronic infectious melanonychia from multiple pathogens, including Pseudomonas aeruginosa, Escherichia coli, and Candida spp. After removal of the nail plate and thorough debridement, the melanonychial streak resolved completely at 12 months of follow-up.Conclusion:Bacterial infection is a rarely reported cause of melanonychia, and in addition to surgical pathologic specimens, intraoperative fungal and bacterial cultures should always be obtained for accurate diagnosis of melanonychia striata.",

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author = "Wu, {Kitty Y.} and Suh, {Gina A.} and Shin, {Alexander Y.}",

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doi = "10.2106/JBJS.CC.23.00137",

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T1 - Chronic Polymicrobial Infectious Melanonychia Striata

AU - Wu, Kitty Y.

AU - Suh, Gina A.

AU - Shin, Alexander Y.

PY - 2023/6/1

Y1 - 2023/6/1

N2 - Case:A 62-year-old man presented with a 10-year history of isolated melanonychia striata of his dominant thumb. Surgical biopsy ruled out subungual melanoma but revealed foreign plant material causing chronic infectious melanonychia from multiple pathogens, including Pseudomonas aeruginosa, Escherichia coli, and Candida spp. After removal of the nail plate and thorough debridement, the melanonychial streak resolved completely at 12 months of follow-up.Conclusion:Bacterial infection is a rarely reported cause of melanonychia, and in addition to surgical pathologic specimens, intraoperative fungal and bacterial cultures should always be obtained for accurate diagnosis of melanonychia striata.

AB - Case:A 62-year-old man presented with a 10-year history of isolated melanonychia striata of his dominant thumb. Surgical biopsy ruled out subungual melanoma but revealed foreign plant material causing chronic infectious melanonychia from multiple pathogens, including Pseudomonas aeruginosa, Escherichia coli, and Candida spp. After removal of the nail plate and thorough debridement, the melanonychial streak resolved completely at 12 months of follow-up.Conclusion:Bacterial infection is a rarely reported cause of melanonychia, and in addition to surgical pathologic specimens, intraoperative fungal and bacterial cultures should always be obtained for accurate diagnosis of melanonychia striata.

KW - infectious melanonychia

KW - isolated melanonychia striata

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Chronic Polymicrobial Infectious Melanonychia Striata

Abstract

Keywords

ASJC Scopus subject areas

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