ABSTRACT

Pseudomonas nail infection causes green, greenish-black or bluish color changes in the involved nail. Herein, we present a case of green nail syndrome related to Pseudomonas aeroginosa that was treated with a different approach. The patient was treated with amikacin injections as she had previously tried many antifungals and antibiotics. Using a G-29 fine needle, a total of 62.5 mg per day of amikacin was injected into the matrix area of the diseased nail for 10 consecutive days. The infected nail healed with a longitudinal depression at one third of the nail plate. Despite this, the patient was satisfied with the result.