[{"data":1,"prerenderedAt":340},["ShallowReactive",2],{"content-route-/en/symptoms-conditions/nail-and-foot-fungal-problems":3},{"state":4,"owner":4,"route":5,"locale":6,"template":7,"content":19,"projection":136,"alternates":331},"target","/en/symptoms-conditions/nail-and-foot-fungal-problems","en-US",{"kind":8,"family":9,"sectionKeys":10},"condition","guidance",[11,12,13,14,15,16,17,18],"definition","stages","diagnosis-states","differentials","options","expected-course","recurrence","evidence",{"kind":8,"title":20,"description":21,"firstPublished":22,"evidenceAsOf":22,"lastUpdated":22,"changeNote":23,"firstLayer":24,"stageRoutes":54,"differentials":57,"relations":72,"body":79},"Nail and foot fungal problems — what changes mean and what to do next","Learn why nail and foot changes need linked assessment, what else can look similar, how diagnosis changes treatment, and when diabetes, nonresponse, or worsening needs care.","2026-07-15","Complete initial draft based on the Pathway C observable-problems, serious-or-urgent, and US authority packs.",{"question":25,"answer":26,"keyPoints":27,"confidence":31,"applicability":34,"nextSteps":41},"Does a thick, discolored, brittle nail or itchy, cracked skin between the toes mean the problem is fungal?","These changes can fit fungal nail infection or athlete's foot, but appearance alone cannot confirm the cause; examine foot skin and nails together, and arrange assessment before nail treatment or when the problem recurs, does not improve, or worsens.",[28,29,30],"Injury, psoriasis, eczema, bacterial problems, and other nail or skin disorders can resemble fungus, so a photograph or one symptom cannot identify the cause.","Possible athlete's foot and possible fungal toenail disease should be assessed together, but one site does not prove that the other is fungal.","Nail recovery is slow even after diagnosis-directed treatment; diabetes, weakened immunity, absent healthy growth, a spreading problem, or worsening changes the reassessment route.",{"summary":32,"rationale":33},"Strong confidence that appearance alone cannot diagnose nail or foot fungus and that suspected nail infection needs appropriate testing before systemic treatment; the expected course is less precise and depends on the nail, organism, treatment, and health context.","Current CDC clinical and treatment guidance and the multidisciplinary onychomycosis guideline agree on overlapping appearances, linked foot-and-nail assessment, confirmation before systemic treatment, slow visible recovery, recurrence, and reassessment after nonresponse.",{"appliesTo":35,"excludes":38},[36,37],"Children and adults in the United States with a new, recurring, or unresolved discolored, thickened, fragile, cracked, separating, or misshapen nail, or scaling, cracking, itching, or moisture between the toes.","People with a presumed fungal foot or nail problem that has returned, has not improved as expected, or is worsening, including people with diabetes or weakened immunity who need a different assessment route.",[39,40],"People with a known or suspected infection plus confusion, clammy skin, extreme pain, fever or shivering, a high heart rate or weak pulse, shortness of breath, or another immediate emergency; they should use emergency care.","People seeking diagnosis from a photograph or an individualized drug choice; examination, testing, body site, age, medicines, pregnancy, and health context can change the decision.",[42,46,50],{"label":43,"action":44,"route":45},"Check both skin and nails","Note every affected toe, nail, and area of foot skin, how the change began, pain or numbness, prior injury, and products used; arrange clinician assessment and ask whether a nail or skin sample is needed before treatment.","/en/start-here/symptoms-now",{"label":47,"action":48,"route":49},"Use the higher-risk route","If you have diabetes and notice a foot or nail change, or have weakened immunity and a possible fungal symptom, contact your regular clinician, foot doctor, or treating team rather than assuming it is fungal or treating it without review.","/en/symptoms-conditions/serious-fungal-infections",{"label":51,"action":52,"route":53},"Check worsening and emergency thresholds","Get medical care immediately when a known or suspected infection is not improving or is worsening; use emergency care for the listed possible sepsis features or another immediate danger.","/en/urgent-help",{"firstTime":45,"recurring":55,"treatmentFailed":56},"/en/start-here/recurring","/en/start-here/treatment-did-not-work",[58,61,65,69],{"label":59,"discriminator":60,"route":45},"Nail injury or repeated pressure","Trauma and footwear pressure can discolor, thicken, split, separate, or distort a nail and can coexist with infection, so history and testing matter.",{"label":62,"discriminator":63,"route":64},"Psoriasis or another inflammatory nail disorder","Inflammatory disorders can cause thickening, pitting, separation, scale, or shape change that resembles fungal nail disease; appearance does not distinguish them reliably.","/en/symptoms-conditions",{"label":66,"discriminator":67,"route":68},"Eczema or another nonfungal foot-skin problem","Itching, scaling, cracking, or redness on the foot can have inflammatory and other causes; site examination and sometimes a skin sample clarify the route.","/en/symptoms-conditions/fungal-skin-infection",{"label":70,"discriminator":71,"route":49},"Wound or bacterial complication, especially with diabetes","A blister, ulcer, infected corn, color or temperature change, pain, numbness, or broken skin needs foot assessment and should not be folded into a fungal label.",[73,76],{"group":74,"route":64,"label":75},"parent","Symptoms & conditions",{"group":77,"route":53,"label":78},"safety","Urgent help",{"type":80,"value":81,"toc":132},"minimark",[82,90,96,102,108,114,120,126],[83,84,86],"content-section",{"section-key":11,"title":85},"What nail and foot fungal problems are — and are not",[87,88,89],"p",{},"Onychomycosis is a fungal infection of a nail, while athlete's foot affects foot skin, often between the toes. Discoloration, thickening, fragility, cracking, separation, shape change, itching, scale, or moist broken skin can fit these problems but cannot confirm them. Injury and inflammatory, bacterial, pigmentary, and structural disorders can look similar. Foot skin and toenails should be examined together because fungal problems can coexist and spread between sites, but one site does not diagnose the other.",[83,91,93],{"section-key":12,"title":92},"First change, recurrence, or treatment that did not work",[87,94,95],{},"A first unexplained change starts with examination and appropriate sampling, especially before nail treatment. Recurrence after apparent improvement reopens foot-skin involvement, exposures, footwear, nail growth, and the original diagnosis. No improvement, partial improvement, absent healthy growth, spread, or a new or worsening finding requires reassessment of diagnosis, organism, host context, adherence, treatment, and adverse effects; it does not by itself prove resistance or invasive disease.",[83,97,99],{"section-key":13,"title":98},"Keep the diagnosis state clear",[87,100,101],{},"Laboratory-confirmed fungal nail disease, an unresolved nail or foot change, and a change self-attributed to fungus are different states. Appearance can guide examination but not settle the cause. Before systemic antifungal treatment, suspected onychomycosis should be confirmed from an appropriately collected nail sample using the clinically appropriate method. Diabetes and weakened immunity change risk and care routing, not the diagnosis.",[83,103,105],{"section-key":14,"title":104},"What else needs consideration",[87,106,107],{},"Injury or repeated pressure, psoriasis and other inflammatory nail disorders, eczema or another foot-skin condition, and a wound or bacterial complication can overlap with fungal appearances. Consideration of these alternatives prevents repeated treatment based only on shape or color. Diabetes-related pain, numbness, temperature or color change, a blister, ulcer, or broken skin needs foot assessment even when athlete's foot or a fungal nail problem also seems possible.",[83,109,111],{"section-key":15,"title":110},"Choose the next assessment route",[87,112,113],{},"For a stable first or unexplained change, arrange assessment of all affected foot skin and nails and ask whether a nail clipping, scraping, microscopy, culture, or another test is needed. This page does not choose a topical or systemic product: treatment depends on the confirmed site and cause, extent, nail involvement, age, pregnancy, medicines, health conditions, and prior response. Use the recurring or treatment-failure stage when the pattern returns or response is incomplete, and the serious-fungal orientation when diabetes or weakened immunity changes the care route.",[83,115,117],{"section-key":16,"title":116},"Expected course and reassessment",[87,118,119],{},"Visible nail recovery is slow because healthy nail must grow out; even diagnosis-directed treatment can take several months to a year, and recurrence can happen. That slow course does not mean every unchanged nail should simply be watched. Lack of healthy growth, persistent linked foot-skin disease, spread, or worsening requires reassessment. A known or suspected infection that is not improving or is worsening needs immediate medical care under the US authority route; possible sepsis features require emergency care.",[83,121,123],{"section-key":17,"title":122},"When foot or nail problems return",[87,124,125],{},"Recurrence changes the next decision from recognizing a familiar appearance to checking whether the cause was confirmed, whether foot skin and nails were both assessed, whether exposure or adherence barriers remain, and whether organism or host factors change the plan. It does not prove permanent infection, reinfection from one named source, or failure of every treatment option.",[83,127,129],{"section-key":18,"title":128},"Evidence and sources",[87,130,131],{},"This draft traces appearance, confirmation, linked site assessment, slow recovery, recurrence, diabetes, immune-risk, nonresponse, and worsening statements to canonical claims and current authorities. Pathway C deliberately has no fixed V1 nail or foot evidence map or selected research summary, so the page makes no treatment body-of-evidence verdict and links directly to its sources instead.",{"title":133,"searchDepth":134,"depth":134,"links":135},"",2,[],{"sources":137,"claims":186,"safety":270},[138,146,151,156,164,168,173,178],{"sourceId":139,"title":140,"canonicalId":141,"canonicalUrl":142,"publisher":143,"sourceType":144,"publicationDate":145,"lastChecked":22},"cdc-candidiasis-testing-2024","Testing and Diagnosis for Candidiasis",null,"https://www.cdc.gov/candidiasis/testing/index.html","US Centers for Disease Control and Prevention","regulator","2024-04-24",{"sourceId":147,"title":148,"canonicalId":141,"canonicalUrl":149,"publisher":143,"sourceType":144,"publicationDate":150,"lastChecked":22},"cdc-ringworm-clinical-overview-2024","Clinical Overview of Ringworm","https://www.cdc.gov/ringworm/hcp/clinical-overview/index.html","2024-07-15",{"sourceId":152,"title":153,"canonicalId":141,"canonicalUrl":154,"publisher":143,"sourceType":144,"publicationDate":155,"lastChecked":22},"cdc-ringworm-treatment-2026","Treatment of Ringworm","https://www.cdc.gov/ringworm/treatment/index.html","2026-02-09",{"sourceId":157,"title":158,"canonicalId":159,"canonicalUrl":160,"publisher":161,"sourceType":162,"publicationDate":163,"lastChecked":22},"nenoff-onychomycosis-guideline-2023","S1 Guideline onychomycosis","doi:10.1111/ddg.14988","https://doi.org/10.1111/ddg.14988","German Society of Dermatology and participating medical societies","guideline","2023-05-22",{"sourceId":165,"title":166,"canonicalId":141,"canonicalUrl":167,"publisher":143,"sourceType":144,"publicationDate":145,"lastChecked":22},"cdc-candidiasis-risk-factors-2024","Risk Factors for Candidiasis","https://www.cdc.gov/candidiasis/risk-factors/index.html",{"sourceId":169,"title":170,"canonicalId":141,"canonicalUrl":171,"publisher":143,"sourceType":144,"publicationDate":172,"lastChecked":22},"cdc-diabetes-foot-problems-2024","Diabetes Foot Problems: When to See Your Doctor","https://www.cdc.gov/diabetes/communication-resources/diabetes-foot-problems-when-to-see-your-doctor.html","2024-05-15",{"sourceId":174,"title":175,"canonicalId":141,"canonicalUrl":176,"publisher":143,"sourceType":144,"publicationDate":177,"lastChecked":22},"cdc-sepsis-2026","About Sepsis","https://www.cdc.gov/sepsis/about/index.html","2026-03-23",{"sourceId":179,"title":180,"canonicalId":181,"canonicalUrl":182,"publisher":183,"sourceType":184,"publicationDate":185,"lastChecked":22},"911-emergency-us-2023","Calling 911","US emergency telephone service 911","https://www.911.gov/calling-911/","National 911 Program, National Highway Traffic Safety Administration","official-care-service","2023-01-24",[187,202,214,225,236,246],{"claimId":188,"exactClaim":189,"outcome":190,"population":191,"verdict":192,"evidenceLevel":193,"rationale":194,"safetyStatus":195,"evidenceAsOf":22,"lastUpdated":22,"status":196,"changeHistory":197,"sources":198},"nail-change-alone-does-not-identify-onychomycosis","Discoloration, thickening, fragility, cracking, separation, or shape change of a nail can be compatible with onychomycosis but cannot identify a fungal cause because injury and multiple inflammatory or structural nail disorders can look similar.","avoidance of a fungal nail diagnosis from appearance alone","children and adults with one or more abnormal fingernails or toenails and no laboratory-confirmed fungal infection","supported","strong","CDC lists the common observable nail changes while emphasizing many alternative causes and prior injury. The onychomycosis guideline requires clinical assessment plus pathogen detection rather than appearance alone.","usual-cautions","active",[],[199,200,201],{"title":148,"canonicalId":141,"canonicalUrl":149,"publisher":143,"sourceType":144,"publicationDate":150,"lastChecked":22},{"title":153,"canonicalId":141,"canonicalUrl":154,"publisher":143,"sourceType":144,"publicationDate":155,"lastChecked":22},{"title":158,"canonicalId":159,"canonicalUrl":160,"publisher":161,"sourceType":162,"publicationDate":163,"lastChecked":22},{"claimId":203,"exactClaim":204,"outcome":205,"population":206,"verdict":192,"evidenceLevel":193,"rationale":207,"safetyStatus":208,"evidenceAsOf":22,"lastUpdated":22,"status":196,"changeHistory":209,"sources":210},"onychomycosis-confirm-before-systemic-treatment","Suspected onychomycosis should be confirmed with an appropriately collected nail sample before systemic antifungal treatment, using microscopy and culture and/or a validated molecular or histologic method as clinically appropriate.","laboratory confirmation before exposure to systemic antifungal treatment","children and adults with suspected fungal nail infection being considered for systemic antifungal treatment","The multidisciplinary S1 guideline states that laboratory evidence should be obtained before treatment selection and is mandatory before systemic therapy because of possible adverse effects; CDC also recommends testing suspected nail infection before treatment. The record does not select a test or drug for an individual.","elevated-risk",[],[211,212,213],{"title":158,"canonicalId":159,"canonicalUrl":160,"publisher":161,"sourceType":162,"publicationDate":163,"lastChecked":22},{"title":148,"canonicalId":141,"canonicalUrl":149,"publisher":143,"sourceType":144,"publicationDate":150,"lastChecked":22},{"title":153,"canonicalId":141,"canonicalUrl":154,"publisher":143,"sourceType":144,"publicationDate":155,"lastChecked":22},{"claimId":215,"exactClaim":216,"outcome":217,"population":218,"verdict":192,"evidenceLevel":219,"rationale":220,"safetyStatus":195,"evidenceAsOf":22,"lastUpdated":22,"status":196,"changeHistory":221,"sources":222},"nail-fungal-course-is-slow-and-recurrence-possible","Even with diagnosis-directed treatment, fungal nail infection and visible nail recovery can take several months to a year, and recurrence can occur; lack of rapid cosmetic normalization alone does not establish treatment failure, while absent healthy growth or clinical worsening requires reassessment.","realistic interpretation of slow nail recovery, recurrence, and treatment-failure states","people with confirmed onychomycosis receiving or having completed clinician-selected treatment","moderate","CDC states that resolution can take several months to a year and that recurrence occurs. The nail guideline uses new healthy growth and repeat pathogen assessment as meaningful response measures. Exact follow-up intervals and actions depend on treatment, nail, organism, and host and are not fixed by this global record.",[],[223,224],{"title":153,"canonicalId":141,"canonicalUrl":154,"publisher":143,"sourceType":144,"publicationDate":155,"lastChecked":22},{"title":158,"canonicalId":159,"canonicalUrl":160,"publisher":161,"sourceType":162,"publicationDate":163,"lastChecked":22},{"claimId":226,"exactClaim":227,"outcome":228,"population":229,"verdict":192,"evidenceLevel":193,"rationale":230,"safetyStatus":195,"evidenceAsOf":22,"lastUpdated":22,"status":196,"changeHistory":231,"sources":232},"foot-and-nail-fungal-problems-need-linked-assessment","Possible fungal skin disease between the toes and possible fungal toenail disease should be assessed together because they commonly coexist and infection can spread between foot skin and nails, while each site still requires its own diagnostic and treatment decision.","identification of coexisting foot-skin and nail involvement without assuming either site proves the other","children and adults with observable scaling, cracking, itching, or maceration of the feet and/or abnormal toenails","CDC states that foot or interdigital infection is common with fungal nail infection, nail infection can spread to skin, and site changes treatment. The onychomycosis guideline recommends examining the rest of the skin for other dermatophytosis. Coexistence supports linked examination, not causal certainty from either appearance.",[],[233,234,235],{"title":148,"canonicalId":141,"canonicalUrl":149,"publisher":143,"sourceType":144,"publicationDate":150,"lastChecked":22},{"title":153,"canonicalId":141,"canonicalUrl":154,"publisher":143,"sourceType":144,"publicationDate":155,"lastChecked":22},{"title":158,"canonicalId":159,"canonicalUrl":160,"publisher":161,"sourceType":162,"publicationDate":163,"lastChecked":22},{"claimId":237,"exactClaim":238,"outcome":239,"population":240,"verdict":192,"evidenceLevel":193,"rationale":241,"safetyStatus":208,"evidenceAsOf":22,"lastUpdated":22,"status":196,"changeHistory":242,"sources":243},"oral-skin-nail-high-risk-modifiers-do-not-diagnose-cause","Diabetes and weakened immunity are important modifiers for oral, skin, foot, and nail fungal problems, including persistence and complications, but neither modifier establishes that an observed lesion is fungal or supplies an individual likelihood ranking.","recognition of higher-risk context without inferring a fungal diagnosis","children and adults with diabetes or impaired immunity and an undiagnosed oral, skin, foot, or nail change","CDC identifies diabetes and immune impairment as risk modifiers for candidiasis and ringworm, and notes greater risk of bacterial complication with fungal nail infection in these groups. The same sources recommend examination or testing because observable findings have alternatives. Exact care thresholds and local actions belong to the US and Polish authority packs.",[],[244,245],{"title":166,"canonicalId":141,"canonicalUrl":167,"publisher":143,"sourceType":144,"publicationDate":145,"lastChecked":22},{"title":148,"canonicalId":141,"canonicalUrl":149,"publisher":143,"sourceType":144,"publicationDate":150,"lastChecked":22},{"claimId":247,"exactClaim":248,"outcome":249,"population":250,"verdict":192,"evidenceLevel":219,"rationale":251,"safetyStatus":208,"evidenceAsOf":22,"lastUpdated":22,"status":196,"changeHistory":252,"sources":253},"fungal-treatment-worsening-requires-reassessment","New, persistent, spreading, or worsening findings during or after antifungal treatment do not establish resistant or invasive fungal disease and should instead reopen the original diagnosis, body site, organism, host risk, exposure, treatment, adherence, and adverse-effect assessment.","cause-directed reassessment after treatment failure or worsening without inferring resistance, invasion, or treatment success","children and adults with a suspected or diagnosed fungal or Candida-related problem that persists, spreads, recurs, or worsens during or after treatment","Current candidiasis authorities distinguish infection site, host context, species, susceptibility, initial response, refractory disease, and alternative diagnoses. CDC also notes that fungal conditions are frequently misdiagnosed and that delayed correct treatment can be consequential. Together these sources support reassessment rather than a single inference from nonresponse; they do not establish one universal interval, action, or care tier across conditions and treatments.",[],[254,257,258,264],{"title":255,"canonicalId":141,"canonicalUrl":256,"publisher":143,"sourceType":144,"publicationDate":145,"lastChecked":22},"Candidiasis Basics","https://www.cdc.gov/candidiasis/about/index.html",{"title":140,"canonicalId":141,"canonicalUrl":142,"publisher":143,"sourceType":144,"publicationDate":145,"lastChecked":22},{"title":259,"canonicalId":260,"canonicalUrl":261,"publisher":262,"sourceType":162,"publicationDate":263,"lastChecked":22},"Global guideline for the diagnosis and management of candidiasis: an initiative of the ECMM in cooperation with ISHAM and ASM","doi:10.1016/S1473-3099(24)00749-7","https://doi.org/10.1016/S1473-3099(24)00749-7","European Confederation of Medical Mycology, International Society for Human and Animal Mycology, and American Society for Microbiology","2025-05-01",{"title":265,"canonicalId":266,"canonicalUrl":267,"publisher":268,"sourceType":162,"publicationDate":269,"lastChecked":22},"Clinical Practice Guideline for the Management of Candidiasis: 2016 Update by the Infectious Diseases Society of America","DOI:10.1093/cid/civ933","https://www.idsociety.org/practice-guideline/candidiasis/","Infectious Diseases Society of America","2016-02-15",[271,284,295,307,318],{"safetyId":272,"observableTrigger":273,"careTier":274,"action":275,"applicablePopulations":276,"excludedPopulations":278,"locale":6,"checkedAt":22,"expiresAt":280,"sources":281},"us-ringworm-scalp-nail-assessment-routine","A person suspects ringworm on the scalp or has a new discolored, thickened, fragile, cracked, or separating nail that they think may be fungal.","routine","Arrange clinician testing before treatment; scalp and nail problems can require prescription treatment and other conditions can look similar.",[277],"children and adults in the United States with a suspected scalp ringworm problem or an unexplained nail change",[279],"people with a rapidly worsening illness, serious reaction, or other immediate medical emergency","2027-01-15",[282,283],{"title":153,"canonicalId":141,"canonicalUrl":154,"publisher":143,"sourceType":144,"publicationDate":155,"lastChecked":22},{"title":148,"canonicalId":141,"canonicalUrl":149,"publisher":143,"sourceType":144,"publicationDate":150,"lastChecked":22},{"safetyId":285,"observableTrigger":286,"careTier":274,"action":287,"applicablePopulations":288,"excludedPopulations":290,"locale":6,"checkedAt":22,"expiresAt":280,"sources":293},"us-diabetes-foot-change-routine","A person with diabetes notices foot tingling, burning, pain, loss of feeling, a color or temperature change, dry cracked skin, thick yellow toenails, athlete's-foot-like changes between the toes, an ingrown nail, blister, ulcer, or infected corn.","Visit the regular clinician or foot doctor for assessment rather than assuming the change is fungal or treating it without review.",[289],"people in the United States with diabetes and at least one listed foot or nail change",[291,292],"people without diabetes","people with signs of infection plus sepsis features or another immediate medical emergency",[294],{"title":170,"canonicalId":141,"canonicalUrl":171,"publisher":143,"sourceType":144,"publicationDate":172,"lastChecked":22},{"safetyId":296,"observableTrigger":297,"careTier":274,"action":298,"applicablePopulations":299,"excludedPopulations":301,"locale":6,"checkedAt":22,"expiresAt":280,"sources":304},"us-fungal-risk-context-review-routine","A person with cancer treatment, transplant, HIV or another weakened-immune-system condition or therapy develops a possible fungal symptom or an infection being treated is not getting better.","Contact the treating healthcare provider about the symptom, risk context, and whether condition-specific fungal testing or treatment review is needed.",[300],"people in the United States with a weakened immune system or listed high-risk treatment and the observable concern",[302,303],"people without a listed high-risk context","people with sepsis features or another immediate medical emergency",[305,306],{"title":166,"canonicalId":141,"canonicalUrl":167,"publisher":143,"sourceType":144,"publicationDate":145,"lastChecked":22},{"title":148,"canonicalId":141,"canonicalUrl":149,"publisher":143,"sourceType":144,"publicationDate":150,"lastChecked":22},{"safetyId":308,"observableTrigger":309,"careTier":310,"action":311,"applicablePopulations":312,"excludedPopulations":314,"locale":6,"checkedAt":22,"expiresAt":280,"sources":316},"us-infection-worsening-prompt","A known or suspected infection is not getting better or is getting worse, without the sepsis features or immediate danger listed in the emergency record.","prompt","Get medical care immediately and ask the healthcare professional whether emergency-department assessment is needed; do not use a fungal label to explain away worsening.",[313],"children and adults in the United States with the observable worsening or nonresponse",[315],"people with clammy skin, confusion, extreme pain, fever or shivering, a high heart rate or weak pulse, shortness of breath, or another immediate medical emergency",[317],{"title":175,"canonicalId":141,"canonicalUrl":176,"publisher":143,"sourceType":144,"publicationDate":177,"lastChecked":22},{"safetyId":319,"observableTrigger":320,"careTier":321,"action":322,"applicablePopulations":323,"excludedPopulations":325,"locale":6,"checkedAt":22,"expiresAt":327,"sources":328},"us-infection-sepsis-signs-emergency","A person with a known or suspected infection has clammy or sweaty skin, confusion or disorientation, extreme pain or discomfort, fever with shivering or feeling very cold, a high heart rate or weak pulse, or shortness of breath.","emergency","Treat this as a medical emergency: call 911 for immediate assistance or go to the nearest emergency department now, and say that an infection and possible sepsis are concerns.",[324],"children and adults in the United States with a known or suspected infection and at least one listed observable sepsis feature",[326],"people with a stable local symptom and none of the listed emergency features","2026-10-15",[329,330],{"title":175,"canonicalId":141,"canonicalUrl":176,"publisher":143,"sourceType":144,"publicationDate":177,"lastChecked":22},{"title":180,"canonicalId":181,"canonicalUrl":182,"publisher":183,"sourceType":184,"publicationDate":185,"lastChecked":22},[332,335,338],{"rel":333,"hreflang":6,"href":334},"alternate","https://candipedia.org/en/symptoms-conditions/nail-and-foot-fungal-problems/",{"rel":333,"hreflang":336,"href":337},"pl-PL","https://candipedia.org/pl/objawy-i-problemy/grzybica-stop-i-paznokci/",{"rel":333,"hreflang":339,"href":334},"x-default",1784685064864]