ADVERTISEMENT

Q. I have white spots secreting pus with cellulitis in my leg thumb region. Kindly help me.

Answered by
Dr. Dhepe Snehal Laul
and medically reviewed by Dr. Sushrutha Muralidharan
This is a premium question & answer published on Jul 26, 2021

Hi doctor,

I am a 21-year-old male of height 5'10" and weight 92 kg. My left leg thumb region has cellulitis with white spots secreting pus. On the first day, there was only itching, but the second day it started to pain and hotness over the region. Today is the fourth day since the problem started. I have no medical history.

Please suggest medication.

ADVERTISEMENT
#

Hi,

Welcome to icliniq.com.

Is there a loss of nail cuticle? Are you diabetic? Is there any history of injury or microtrauma? Do you have a fever? Is there any oozing? What is your occupation? Was there any prolonged contact with water?

Please answer the questions and attach a clinical picture of the lesion so I can guide you accordingly.

Hi doctor,

Thank you

I think it is because my legs were wet due to soaked in the rain for a long time. Please see the images of the infection attached. There is a lot of tiredness, not feverish. Kindly give your opinion.

#

Hi,

Welcome back to icliniq.com.

It is mixed pattern onychomycosis with secondary bacterial infection (attachments removed to protect the patient's identity). Risk Factors include nail trauma, diabetes, autoimmune disorder, advanced age, family history, environmental factors (hot, humid regions, barefoot walking, occlusive footwear), peripheral vascular disorder, etc.

Differential diagnosis include paronychia, bacterial infection, nail dystrophy, nail changes due to systemic illness, nail atopic dermatosis, nail bed tumor, etc.

Nail clipping is needed to confirm the diagnosis (one sample for direct microscopy and one for culture). Other diagnostic modalities are KOH (potassium hydroxide) mount, special stains, HPE (Holoprosencephaly), nail dermoscopy.

I suggest applying 5% Amorolfine Nail lacquer one to two times a week for 12 weeks or Ciclopirox 8% is another alternative and Mupirocin ointment (T-Bact ointment) twice daily in the morning and evening for ten days. Wear loose shoes. Keep nail short. Avoid barefoot walking.

Is it painful?

I hope this was helpful.


Was this answer helpful?

 | 

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!



Related Questions:
What do you recommend for my father's cellulitis leg?

.. here to help you. In evaluating his case, my recommendations would be that he should be admitted for a week and should be given injectable broad antibiotics according to his culture and sensitivity report. He would also require a color Doppler of ...   Read full

My nails are itchy, yellow and break easily. Kindly advise the treatment.

Capsule Itraconazole 100 mg two in the morning and two in the evening for one week, then break for three weeks, repeat course next month for one week ...   Read full

Please suggest me an antibiotic to get rid of cellulitis.

.. your blood sugar checked and send a blood culture. If the organism shows resistance to certain drugs, then we need to change the antibiotics to cure cellulitis. Also get an ultrasound of the abdomen to rule out inguinal lymphadenopathy. Please sen...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read


Monkeypox Virus - Symptoms, Diagnosis, Treatment, Complications, and Prevention
Monkeypox is a zoonotic viral disease. This virus got its name as it was first noticed in laboratory monkeys in the late...  Read more»
Tomato Fever - Causes, Symptoms, Diagnosis, Treatment, and Prevention
Tomato fever is an unidentified and fast-spreading type of viral infection seen in young children. Scroll down to know m...  Read more»
Histrionic Personality Disorder - Causes, Signs, Symptoms, Diagnosis and Treatment
Histrionic personality disorder causes variations in the thinking ability of a person. Read this article to know more.  Read more»

Ask your health query to a doctor online?

Ask a Dermatologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.