Brief Answer:
Possibility of Tinea pedis Or pompholyx with secondary bacterial inf'n

Detailed Answer:
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I suggest a possibility of Tinea/ Fungal infection i.e Tinea Pedis with superimposed bacterial infection AND a second possibility of pompholyx/ endogenous eczema with secondary bacterial infection.

Tinea Pedis is usually itchy. It commonly starts from the web spaces between toes and may extend to involve neighboring skin.
Skin involvement with tinea pedis may develop secondary bacterial infection and then it would become painful, swollen with oozing.

Pompholyx/ eczema, usually presents with itching and tense painful vesiculation on sides of toes and fingers.
Pompholyx may also become secondarily infected with bacteria and become swollen, painful and ooze pus and blood.

If I was the treating doctor I would start you on Oral antibiotics e.g Amoxycillin Or Cephalexin, thrice daily for a week. This would take care of bacterial superinfection and oozing.
An OTC painkiller e.g ibuprofen twice or thrice daily will provide you symptomatic relief from pain and discomfort.

Thereafter management would depend on whether the underlying condition is Tinea Or Pompholyx.

Tinea would require Oral and topical antifungals whereas pompholyx would require topical steroid cream with or without Oral steroids

I would like to know whether the condition affects all the toes? Is it on one side Or does it affect both the feet?

Regards

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Brief Answer:
Oral antibiotics for a wk; oral antifungals; topical antifungal after a wk.

Detailed Answer:
Hi.

Thank you though the Image is not very clear.
However the fact that it involves the toe web spaces and is unilateral suggests that this is primarily a fungal infection/ tinea pedis with superimposed bacterial infection.

I suggest that you be started on Oral antibiotics for a week. This would help resolve bacterial superinfection, oozing as well as swelling.

I would also suggest that you be started on oral antifungals e.g weekly fluconazole tablets for 4-6 weeks.

An OTC oral antihistamine e.g cetrizine 10 mg once daily will provide you symptomatic relief from itching & an OTC oral antiinflammatory e.g ibuprofen, twice daily, will provide you symptomatic relief from pain & swelling.

Along with Oral fluconazole, you may also use a topical antifungal e.g clotrimazole 1% cream, twice daily, once the area dries up after a week of Oral antibiotics.

Oral antifungals and Oral antibiotics are prescription products.
I suggest that you visit a dermatologist for a confirmatory diagnosis as well as for the needful. You may share this discussion with your dermatologist.

Regards

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Brief Answer:
Tinea Pedis with secondary bacterial infection

Detailed Answer:
Hi. Thank you. I have reviewed the new image. I will stick to my diagnosis I.e times pedis with secondary bacterial infection. Regards

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