Toenail Infection

A toenail infection, also known as onychomycosis, is a common fungal infection that affects the toenails. It is caused by a type of fungus that thrives in warm, moist environments and can be spread through direct contact with an infected person or contaminated surfaces.

Causes

The most common causes of toenail infections are:

  • Fungal infections: such as dermatophytes, yeast, and molds
  • Bacterial infections: such as pseudomonas and streptococcus
  • Viral infections: such as herpes simplex
  • Parasitic infections: such as ringworm

Symptoms

The symptoms of a toenail infection may include:

  • Thickening or brittleness of the nail
  • Discoloration of the nail, such as yellowing, brownish, or blackening
  • Distortion of the nail shape
  • Pain or tenderness in the nail bed
  • Foul odor from the infected nail
  • Crumbly or flaky texture of the nail
  • Separation of the nail from the nail bed

Types of Toenail Infections

There are several types of toenail infections, including:

  • Dermatophyte infection: caused by a type of fungus that feeds on keratin, a protein found in nails
  • Yeast infection: caused by a type of yeast that thrives in warm, moist environments
  • Mold infection: caused by a type of mold that can infect the nail and surrounding tissue
  • Bacterial infection: caused by bacteria such as pseudomonas or streptococcus

Treatments

The treatment for a toenail infection depends on the severity and type of infection. Some common treatments include:

  • Topical antifungal medications: applied directly to the infected nail
  • Oral antifungal medications: taken by mouth to treat the infection from the inside out
  • Nail debridement: removal of the infected portion of the nail
  • Laser treatment: uses a laser to heat and kill the fungus
  • Surgical removal: removal of the entire infected nail
  • Home remedies: such as tea tree oil, vinegar, and baking soda, which can help to treat mild infections

Prevention

To prevent toenail infections, it is recommended to:

  • Keep the feet clean and dry
  • Wear shoes that fit properly and are made of breathable materials
  • Use antifungal powders or sprays on the feet and in shoes
  • Avoid sharing personal care items, such as nail clippers and files
  • Disinfect nail care tools after each use
  • Wear socks made of moisture-wicking materials

Complications

If left untreated, a toenail infection can lead to complications such as:

  • Spread of the infection to other nails or parts of the body
  • Persistent pain and discomfort
  • Nail loss or damage
  • Infection of the surrounding skin and tissue
  • Systemic infections, such as cellulitis or sepsis, in people with weakened immune systems

Article last updated on: 11th April 2025.
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