Green nail syndrome on the nail plate and bed related with Enterococcus and Fusarium coinfection.

The green nail syndrome is characterized by discolouration of the nail plate frequently accompanied by chronic paronychia and onycholysis. The cause could be either bacterial or fungal infection. A 24-year-old woman presented to the clinic with a history of discolouration of the nail plate and bed accompanied by onycholysis. Scrapings from the nail were taken twice, microscopically examined, and cultured on media for isolation and identification of bacteria and fungi. The first sample gave positive results for Enterococcus spp. After treatment and a lack of complete recovery of the nail, second sample was taken and subjected to the same tests. This time Fusarium infection was detected. Additional treatment was performed and the nail’s plate and bed were successfully treated.