Paronychia is one of the most common infections I see about the hand. It is most often caused by bacteria getting underneath the nail fold. It is usually a staphylococcus type infection but can be different organisms. Sometimes if you catch it early, you can just treat it with warm soaks and antibiotics. However, once it reaches the stage shown in the video, an irrigation and debridement is generally required. One of the common ways this occurs is from aggressive cuticle scraping during a manicu