Direct extension osteomyelitis secondary to chronic onychocryptosis. Three case reports

HA Cox American Lake Veterans Affairs Medical Center (129), Tacoma, WA 98493, USA.

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RO Jones American Lake Veterans Affairs Medical Center (129), Tacoma, WA 98493, USA.

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The podiatric physician should be alert to the possibility of underlying bony infections in cases of chronic or neglected nail infections. X-rays should be taken when drainage has been present for 4 weeks. This will rule out bony changes as well as provide assistance in following the progression, if no improvement is seen, despite treatment.

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