Proximal nail fold swelling, pain, and granulation tissue

A 28-year-old man presented with a 4-month history of left great toe pain, swelling, erythema, and drainage. The patient was previously treated with a topical antifungal, oral antibiotics, and hot water soaks without improvement of symptoms. The patient's toe upon presentation is depicted in Fig 1 and after gentle washing in Fig 2. The patient's nail plate is depicted in Fig 3.