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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Infection And Inflammation Of The Toe?

i am a doctor,recently one young female with a background of bronchial asthma came to me with an injury at right great toe,that great toe was inflammed with feautures of infection,i gave her aceclofenac paracetamol combination,along with amoxycillin clavulinic acid combination.her finger status improved dramatically,but she developed bilateral pedal oedema with facial puffiness,with normal urine output--------what could b the cause of such swelling and what to do now?
posted on Fri, 14 Mar 2014
Twitter Tue, 22 Mar 2016 Answered on
Twitter Tue, 22 Mar 2016 Last reviewed on
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General & Family Physician,  's  Response
hello doctor
i read your question and understand your concern
as you mentioned that your patient is already an Asthmatic patient
so in Asthmatic patient don't ever give NSAIDs!
as you given aceclofenac so this all because of this NSAID allergy
i would suggest to immediately stop his NSAIDs and do one RFTs and give her anti allergic i/v and if there is breathing difficulty give Hydro cortisone 100 mg i/v and advise one chest x-ray PA view and treat accordingly
i hope my answer will satisfy you
good luck & tc
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What Causes Infection And Inflammation Of The Toe?

hello doctor i read your question and understand your concern as you mentioned that your patient is already an Asthmatic patient so in Asthmatic patient don t ever give NSAIDs! as you given aceclofenac so this all because of this NSAID allergy i would suggest to immediately stop his NSAIDs and do one RFTs and give her anti allergic i/v and if there is breathing difficulty give Hydro cortisone 100 mg i/v and advise one chest x-ray PA view and treat accordingly i hope my answer will satisfy you good luck & tc