Clinical Case Reports (Mar 2024)

Ultrasound and magnetic resonance image findings in a patient with a subungual abscess: A case report

  • Akihiko Nakabayashi,
  • Atsuko Tsujii,
  • Dong‐seop Kim,
  • Tatsuya Tamada,
  • Maiko Yoshimura,
  • Kentaro Isoda,
  • Shiro Ohshima

DOI
https://doi.org/10.1002/ccr3.8593
Journal volume & issue
Vol. 12, no. 3
pp. n/a – n/a

Abstract

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Key Clinical Message Subungual abscesses are rare, and information about them through imaging findings is lacking. Carbon dioxide laser drainage and antibiotics are effective treatment strategies for subungual abscesses. We report a case of a 47‐year‐old male healthcare worker with a subungual abscess that improved after manual drainage alone. Ultrasound and magnetic resonance images showed a tumor (with blood flow) between the nail plate and distal phalanx. Culture tests revealed Staphylococcus aureus. The patient's symptoms resolved quickly and the nail returned to normal after 4 months. This is possibly the first report of a subungual abscess with ultrasound and magnetic resonance imaging findings.

Keywords