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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Small Holes In The End Of Three Toes?

I have small holes in the end of three toes. Earlier I had one and a black worm (very active) came out of it when I pricked it with a needle. What kind of worm was it , what caused it and what can be done to keep from getting others? I know some of the things that tropical ones can cause but I probably got these in the Western United States since my travels in Africa were in 1981--1983. Can I have acquired these long ago and they have been living in my kidneys and are just now trying to procreate because my kidneys are dying? Please give me a serious answer at YYYY@YYYY .
Thu, 30 Apr 2020
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General Surgeon,  's  Response
Hello,

* As per my surgical experience, the presence of holes at the ends of toes indicate fungal infection or parasitic infection from tropical region as africa. Better recovery would be with

- anti worm theray as mebendazole or pyrental palmoate
- prophylactic anti fungal tablets as fluconazole or ketoconazole
- control of blood sugar
- taking hygienic care of local part
- sterile dressing with permethrin cream or lotion.

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

Take care

Regards,
Dr. Bhagyesh V. Patel
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What Causes Small Holes In The End Of Three Toes?

Hello, * As per my surgical experience, the presence of holes at the ends of toes indicate fungal infection or parasitic infection from tropical region as africa. Better recovery would be with - anti worm theray as mebendazole or pyrental palmoate - prophylactic anti fungal tablets as fluconazole or ketoconazole - control of blood sugar - taking hygienic care of local part - sterile dressing with permethrin cream or lotion. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Bhagyesh V. Patel