Characteristics, Associated Diseases, and Management of Gramnegative Toe-web Infection: A French Experience
DOI:
https://doi.org/10.2340/00015555-3315Keywords:
Gram-negative toe-web infection, Pseudomonas aeruginosa, eczema, contact dermatitisAbstract
Gram-negative toe-web infection can cause pain and disability, be complicated by a long healing time, management failure, and cellulitis, and recur due to persistent predisposing factors. To describe the clinical features and management of Gram-negative toe-web infection and evaluate predisposing factors and associated diseases, their management, and the effect of controlling them on the rate of recurrence, we conducted a retrospective real-life study of patients with Gram-negative toe-web infection. Among the 62 patients (sex ratio 9:1), 31 experienced more than one episode of Gram-negative toe-web infection. Pseudomonas aeruginosa was the most prominent bacteria. Predisposing factors/associated diseases were eczema (66%), suspected Tinea pedis (58%), humidity (42%), hyperhidrosis (16%), psoriasis (11%), and vascular disorders (40%). Patients in whom associated diseases, such as eczema or psoriasis, were controlled did not relapse, suggesting the benefit of management of such conditions. We suggest that management of Gram-negative toe-web infection be standardised, with a focus on diagnosis and treatment of associated diseases.Downloads
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Copyright (c) 2019 Anne Goiset, Brigitte Milpied, Aurélie Marti, Jérome Marie, Vaianu Leroy-Colavolpe, Anne Pham-Ledard, Olivier Chosidow, Marie Beylot-Barry
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