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Bacterial intertrigo mimicking interdigital tinea pedis

Discussion in 'General Issues and Discussion Forum' started by NewsBot, Mar 12, 2011.

  1. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1

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    Foot bacterial intertrigo mimicking interdigital tinea pedis.
    Lin JY, Shih YL, Ho HC.
    Chang Gung Med J. 2011 Jan-Feb;34(1):44-9.
     
  2. PodGov

    PodGov Member

    A differential diagnosis of Eythrasma - infecting organism Corynebactrium minitissimum; should always be a differential diagnosis for those cases which do not respond to antifungal management. Woods Lamp is used to diagnose Erythrasma and fluoresces orange-red colour.
     
  3. Kara47

    Kara47 Active Member

    Came across a patient in the last few days with maceration between all toes & blue - green colouring on some. Has been treated with Daktarin for 4 weeks+, so will be referring to GP to swab for Pseudomonas. Has anyone else seen this? Unfortunately didn't have a camera in the clinic:(
    Cheers,
    Kara
     
  4. PodGov

    PodGov Member

    Hi Kara

    Did this presentation have a distinct odour? Pseudomomas has an odour that you will not fail to recognise. The patient will need to be on an antibiotic - a topical preparation should suffice - if the infection is not severe. A simple treatment solution is also using acetic acid - simple vinegar.

    Cheers
     
  5. W J Liggins

    W J Liggins Well-Known Member

    Drummond is right. It's always worth using a Woods Lamp to assist in diff diagx.

    I note that the abstract of the original paper did not specify whether the population represented in the study had already undergone treatment for tinea. I suspect that bacterial infection secondary to mycosis is more common than generally accepted. Oh well, another piece of research!

    Bill Liggins
     
  6. blinda

    blinda MVP

    You`re not wrong there, Bill. Risk of secondary infection is one of the main reasons for treating TP;

    http://cid.oxfordjournals.org/content/41/10/1416.abstract

    http://cid.oxfordjournals.org/content/23/5/1162.short

    Cheers,
    Bel
     
  7. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Study of the Etiological Causes of Toe Web Space Lesions in Cairo, Egypt.
    Hassab-El-Naby HM et al
    Dermatol Res Pract. 2015;2015:701489
     
  8. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Risk Factors for Chronic Intertrigo of the Lymphedema Leg in Southern India
    A Case-Control Study

    Lourduraj John De Britto et al
    International Journal of Lower Extremity Wounds December 2015 vol. 14 no. 4 377-383
     
  9. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Treatment of interdigital foot Erythrasma with ozonated olive oil
    Ramirez-Hobak L et al
    [URL="http://www.ncbi.nlm.nih.gov/pubmed/27197103?dopt=Abstract"[/URL]
     
  10. zsuzsanna

    zsuzsanna Active Member

    My 15 year old grandson has been suffering with an infection on his foot. It has been suppurating and all dressings soak through in a few hours. He has been to the doctor who prescribed moxacillin and took swabs but the result came back negative. He doubled the dose of antibiotic! I am wondering if it is fungal. He has been referred to a specialist. His big toe is very red and covered with blisters which extend to the interdibital space and the second toe.
    I would be grateful for any suggestions. I will try to attach two photos.
    The boy lives 200 miles from me so I am not able to examine him myself!
     

    Attached Files:

  11. blinda

    blinda MVP

  12. zsuzsanna

    zsuzsanna Active Member

    Yes! You are quite right it is the same boy two years on! I had forgotten and I believe so did my daughter. But you remembered! Thank you for the link I shall convey the information. I wonder whether the GP had picked up the fact that this has happened before.
    Best wishes
    Zsuzsanna
     
  13. blinda

    blinda MVP

    Memory of an elephant, me. Good pics BTW.
     
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