Brief Answer:
Please send a photo of your toe&following information

Detailed Answer:
Hi my dear,

I am sorry for the problems you are going through.

1. To evaluate the severity of the infection in your second toe, I need to have a look at it. Can you send a photo to me?

2. Since when you are having such infection?

3. Do you suffer of any metabolic disease: diabetes? vascular disorders?

Thank you.
Dr.Albana

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Brief Answer:
Ok,thanks...

Detailed Answer:
Hi back my dear,

Thank for providing the requested information. Can you send a photo of the affected toe as well as at following email address:

YYYY@YYYY

Are you having any problems with low extremities blood circulation like deep vein thrombosis? vasculopathy? Neuropathy as far as you know?

Thank you.
Dr.Albana

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Brief Answer:
Wound swab testing/culture advised

Detailed Answer:
Hi back my dear,

Ok, I've gone through your photo and noted that swollen second toe. As keflex and cipro failed to treat it, and from what I have seen, that's a case of fungal infection of the skin of second toe with secondary bacterial infection.


A further culture of wound discharge/swab is also advised as next diagnostic step.
Examination of swab for fungi is also recommended

Antifungal treatment is required orally and locally with terbinafin cream. Keep it well clean and dried with terbinafin powder.

Raise your leg to help circulation of blood.

Hope this helps.
Dr.Albana

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