instruction: hello doctor I have an itchy bump around the nail of one of my toes the second one it has happened in the past years usually when the season gets warmer it started about a month ago and grew into a quite itchy sensitive and swollen area it is now turning to purple I tried antifungal before but it was hard to know whether they made a difference please help
output: hi I have read your concern and examine your pictures ingrowing nail gram staining and culture potassium hydroxide koh smears acute paronychia without obvious abscess can be treated nonsurgically like in your case I suggest tablet augmenting 625 my thrice daily combination of amoxicillin and clavulanic acid for days and clotrimazole plus fusidic acid cream twice daily for one week