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I have an infection on my toe next to the big toe as a result from a plantars wart.Antibio

 
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Customer Question

I have an infection on my toe next to the big toe as a result from a plantars wart.Antibiotics have not done very much to rid the infection.It has formed an inch size blister and foot looks worse as red and swollen when I'm walking around on it,but seems to look better when I'm off my foot.Have seen 2 doctors and a podiatrist and all they want to do is pump more antibiotics.One doctor said it was a viral infection from the plantars wart and antibiotics will not help.What is my recourse in this situation.Can I lose my foot over this?

 

Optional Information:
Person's Gender: Male
Person's Age: 55

Already Tried:
Two rounds of antibiotics,Foot soaks with vinegar.colloidal silver gel.Currently at the advice of a naturpath doctor,which advice against the use of antibiotics,because it will make the infection more resistant.Gave me a powerful mixture of echanachea tincture to ingest along with a bio active form of colloidal silver for immune support.

Submitted: 255 days and 1 hours ago.
Category: Medical
Value: $35
Status: CLOSED
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Expert:  DrThomasMd replied 255 days and 1 hours ago.

Hello from JA

I am Dr. Thomas, MD, board certified in internal medicine and integrative medicine, so I cover a lot of ground and can help you with your question.

I will either give you an answer right away or have questions for you. Either way, use reply until you are ready to rate the answer


OK
I really need some information here:
1. What does the toe look like and feel like
2. What antibiotics were used.
3. Was the toe cultured with an aspirate.
4. Naturopath from what naturopathic college..there are only 4 to 5 that are accredited.

Customer replied 255 days and 1 hours ago.

Would you like for me to send picture of toe using my iphone?Toe is swollen double the size it should be mostly at the bottom,but doesnt look too red when foot is propped up.Gets redder when I am walking on it.The bubble which appears to be a blister,formed between the third and second toe and is red and skin feels like parch paper.But there is obviously some inflammation around it and on top of foot.Took a z pak the first time for 10 days,clindamycin 150 mg 2 every 6 hrs,Hydroco/acetamin for pain.Toe was not aspirated.Podiatrist was not helpful at all.Naturepath doctor,we dont know his accredidations but know he is one of the best in the U.S.He was a cardiologist before but prefers natural medicine.The trouble is he is in dallas and we live 2 hrs away.But he has always come tru for us with flyins colors with other medical issues we've had.

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Expert:  DrThomasMd replied 255 days ago.

OK
This sounds like infection
I don't know how you can upload a picture from your phone here, but the description sounds like staph and that means it can be MRSA.

If clindamycin failed I would use bactrim.
The wound itself might need surgical cleaning, and it should be assessed from this standpoint.

From your description [as I am an MD with naturopathic training as well], I would say this is beyond colloidal sliver and echinacea, which are both non-specific, and not reliable in certain situations.

So I would say the biggest risk is not losing the toe at this point but the spread of the infection.

An internist or ID specialist, or general surgeon could handle this situation well.

I wold also suggest there is venous stasis involved here and that an ultrasound of the legs might be very useful here.

Let me know if you have further questions.

When ready: Please rate one of the positive ratings: the only way we are compensated for time and expertise. If you are not done, use reply to expert. Come back anytime. Bonuses are great…but your satisfaction is my goal.

Future questions? Ask for DrThomas in the question title or see my profile to request me. Save my profile to your browser favorites http://www.justanswer.com/medical/expert-dr-thomas

Customer replied 255 days ago.

Can this be treated by general surgeon as an outpatient instead of going to a hospital as you know people have picked up other more serious infections like flesh eating virus at hospitals.

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Expert:  DrThomasMd replied 255 days ago.

Yes if you have it taken care of now I suspect it will be outpatient treatment.

I am not concerned about the hospital environment, but this is not a hospital case at this point.

I don't think based on what you have said...it is probably office exam and treatment right now.

When ready: Please rate one of the positive ratings: the only way we are compensated for time and expertise. If you are not done, use reply to expert. Come back anytime. Bonuses are great…but your satisfaction is my goal.

Future questions? Ask for DrThomas in the question title or see my profile to request me. Save my profile to your browser favorites http://www.justanswer.com/medical/expert-dr-thomas

Customer replied 255 days ago.

please define what staph infection is and mrsa

Accepted Answer

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Expert:  DrThomasMd replied 255 days ago.

Staph is a bug on the skin
MRSA is staph that is resistant to a lot of antibiotics, and so it can be hard to treat if it gets out of hand.
It can cause blistering.

When ready: Please rate one of the positive ratings: the only way we are compensated for time and expertise. If you are not done, use reply to expert. Come back anytime. Bonuses are great…but your satisfaction is my goal.

Future questions? Ask for DrThomas in the question title or see my profile to request me. Save my profile to your browser favorites http://www.justanswer.com/medical/expert-dr-thomas

Expert TypeBoard Certified Physician
Category: Medical
Pos. Feedback: 97.3 %
Accepts: 41909
Answered: 8/4/2012

Experience: Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc

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