The paronychia (fresh fingers) is an inflammation located at the root of the nail of the child. How should you treat her and when should you go to the pediatrician in case of paronychia? The paronychia is an infection that affects the crease of the skin around the child’s nail. Its acute phase is manifested by swelling and redness of the skin that becomes warm to the touch and on which small blisters may appear. If you touch the area, you will notice a sharp pain in the child, at the base, and on the sides of his fingernail. It can even come out of the pus of the nail. If the inflammation gets worse, the surface of the nail is wavy and its color turns brown-green. In some cases, the child may have a slight fever and the glands in his armpits may swell. In rare cases, the infection can spread to the finger and blood, causing a feverish condition.

Normally, parsnip is caused by bacteria, usually staphylococci and, more rarely, streptococci. In other cases, paronychia may be due to the presence of a fungus, Candida albicans, or herpes simplex virusĀ  ; in this case, it is called herpetic whitlow and tends to reproduce. The habit of touching or biting the skin around the nails, or the thumb sucking, promotes the penetration of bacteria and, therefore, your child’s paronychia. The children who sweat a lot are more easily prone to infection.

You must treat paronychia (fresh fingers) by carefully disinfecting the affected area. To do this, you should boil the water, soak sterile gauze in it, drain to remove excess water and make warm compresses for ten minutes, three times a day until the paronychia is cured. In case there is pus, you must press the parsnip gently, so as to make it out. The pediatrician may prescribe the application of antibiotic ointment on the finger. If the infection is severe, you will have to make a small incision so that the pus can be evacuated. The procedure should be done in a medical setting and is not indicated when the parsnip is caused by a virus. So, in this case, there is a risk of spreading the infection throughout the body.

When should you go to the pediatrician to treat your child’s paronychia?

You must consult your pediatrician if:

  • Your child has a fever.
  • The infection affects his entire finger, which is red and tense and the nail has red streaks.
  • The infection has spread around your child’s nail and his finger is swollen and red.
  • There is pus under the root of the nail.
  • The appearance of paronychia does not improve after two days of treatment.
  • The situation is not resolved completely in a week.

Its exact location:

  • The circumference of the nail (the paronychia often takes the name of “tourniole” here) following a tearing of the skins which surround it, a small wound, a foreign body (splinter).
  • The pulp of the finger (foreign body).
  • More rarely at the level of the 1st or second phalanx.
  • The responsible germ:
  • Almost always a staph.
  • Complications
  • Badly treated he can:

To fuse towards the inside of the finger, responsible for a phlegmon of the radial sheath , a tenosynovitis , an osteitis .

Leave the hand by the lymphatic vessels and give lymphangitis .

His emergency treatment is based on:

On antibiotic therapy and surgery if needed (incision and drainage of pus).

Consult A doctor

  • A painful white dot on the edge of the nail or on the pulp.
  • A red finger, hot, increased in volume.
  • A throbbing, pulsating pain, preventing any sleep .
  • Sometimes a fever .

On the spot Doctor

  • Will immediately diagnose on the simple vision of the finger.
  • Eliminate an immediately identifiable complication such as lymphangitis.
  • Will not ask for any special exam.
  • And will send the person to the hospital for urgent treatment if the pus is already collected.
  • At the very beginning, before the suppuration stage, antiseptic and antibiotic treatment can be attempted, but it is necessary to require the absence of nocturnal throbbing pain and an improvement within 24 hours, otherwise direction of the urgencies for an abscess cleaning in good conditions.

The Treatment

On a surgical procedure (under local anesthesia or pneumatic tourniquet or sometimes even under general anesthesia) consisting of incising and then draining the pus. This intervention requires the respect of aseptic rules important to prevent the infection fuse towards the inside of the finger as we have seen above. On starting antibiotic treatment over 10 days.