Suggest Treatment For Erosio Interdigitalis Blastomycetica

Posted on Mon, 17 Nov 2014

Question: my fiance woke up this morning between his little toe it was bleeding and had some whitish green liquid in between..and he said it has been itching at work..what is wrong..he said it hurts when he walks

Answered by Dr. Ilyas Patel (34 minutes later)

Brief Answer:
Erosio interdigitalis blastomycetica

Detailed Answer:
Hi,

Welcome to HCM..

I read history you gave about disease in your fiance. There may be eroded lesion in toe web. It may be candidal infection caused by candida albicans. It may be superadded by secondary bacterial infection. That might be responsible for greenish white discharge. He may be having discomfort,difficulty in walking,burning pain and itching..

After this much history, I feel that your fiance may be having most probably candidal intertrigo of toe web also called erosio interdigitalis blstomycetica.

Still, He should consult dermatologist for firm diagnosis.

Blood investigations may be done to rule out DM,HIV and other immunocompromised conditions.

He may take antibiotic like cefixime,antifungal like ketoconazole and anti inflammatory nimesulide.

He may apply antibiotic cream like fusidic acid along with antifungal cream like clotrimazole. Cleanse the area with antiseptic liquid like savlone liquid.

He should keep the affected area dry.

I hope this would be helpful for his treament. You may post the photos of affected area. You may ask questions still, if you want.

Thanks..

With best wishes..

Dr. Ilyas Patel MD

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Above answer was peer-reviewed by : Dr. Vinay Bhardwaj