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Pseudomonas toe web infections.

T A Westmoreland1, E V Ross, J K Yeager

  • 1Department of Internal Medicine, National Naval Medical Center, Bethesda, Maryland.

Cutis
|March 1, 1992
PubMed
Summary
This summary is machine-generated.

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A presumed fungal foot infection, tinea pedis, was misdiagnosed. Pseudomonas bacterial infection was identified using Wood's light and culture, leading to effective treatment with ciprofloxacin.

Area of Science:

  • Dermatology
  • Infectious Diseases
  • Microbiology

Background:

  • Tinea pedis (athlete's foot) is a common fungal infection of the feet.
  • Griseofulvin is an oral antifungal medication typically used for dermatophyte infections.
  • Persistent or unresponsive skin infections warrant diagnostic re-evaluation.

Observation:

  • A patient presented with symptoms suggestive of tinea pedis.
  • Initial treatment with oral griseofulvin for two weeks yielded no clinical improvement.
  • Referral to a specialist was made due to lack of treatment response.

Findings:

  • Wood's light examination and fungal culture were performed.
  • Diagnosis revealed a Pseudomonas bacterial toe web infection, not tinea pedis.

Related Experiment Videos

  • Rapid resolution was achieved with oral ciprofloxacin and topical Castellani's paint.

    • Implications:

    • Highlights the importance of accurate diagnosis in differentiating superficial fungal and bacterial infections.
    • Demonstrates the utility of Wood's light examination and culture in diagnosing challenging foot infections.
    • Suggests alternative therapeutic strategies for recalcitrant toe web infections.