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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Painfully Swollen Fluid Filled Blister On The Toe?

my husband has gout. His toe is very swollen with a fluid filled blister. When bursted a large number of little white things looking like white eggs of some type, Very painful toe. Dr., dx. it as Gout. prescribed bactrim orally for tx. the con d to be very sore with drainage. Finally he got a culture that read a staph. infection, and dc d oral bactrim and ordered a different antibiotic for him that seems to be working. Was his dx. correct as being gout or does this sound more like an insect bite? If so what type would bite and leave little white eggs? Thank you I didn t realize there is a fee.
Wed, 4 Dec 2019
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General Surgeon 's  Response
Hello,

The acute pain with swelling and blister was due to secondary bacterial infection with staph. Discharge of little white eggs is seemingly due to uric acid crystals which are known sequence of gout and hyperuricemia in the system. In addition to current antibiotics, you need disease modifying agents as Colchicine , corticosteroids or others at present and later on allopurinol or febuxostat for maintenance phase.

Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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What Causes Painfully Swollen Fluid Filled Blister On The Toe?

Hello, The acute pain with swelling and blister was due to secondary bacterial infection with staph. Discharge of little white eggs is seemingly due to uric acid crystals which are known sequence of gout and hyperuricemia in the system. In addition to current antibiotics, you need disease modifying agents as Colchicine , corticosteroids or others at present and later on allopurinol or febuxostat for maintenance phase. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon