Skin condition diagnosis /advice please

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Hi Folks
My 2 y/o grandson with no health issues started 7days ago with cracked 4/5th web skin .This developed a full length 4th toe blister .
Went to gp dx athletes foot,px terbinafine cream.Blister peeled away over 2/3 days leaving this fierce inflamation.Is this a reaction to the cream?
I have not seen fungal infections develop so rapidly or so severely , any alternative suggestions please .I have not seen this as he lives 100 miles away
No chemicals , no burn, no known trauma.
Photos attached
All help much appreciated
Thanks
Geoff

 

Geoff

I would have thought this was a secondary bacterial infection and would require antibiotics?

cornmerchant

 

Agree with Cornmerchant, an acute secondary bacterial infection to TP, not a reaction to the cream, although this does highlight whether Lamisil cream should be used ID. I always recommend Lamisil spray or lotion (which dries to a film within minutes) ID as a cream based vehicle tends to encourage moisture and subsequent maceration leading to a portal of entry for infection.

Difficult to say for sure, but do the photos display a yellow/greenish presence? Not often seen but if there is any pseudomonas be selective in your AB prescription as I`m sure you`re aware that it may be resistant to some penicillin being gram negative bacteria.

Poor little fella, hope he gets better soon.

Cheers,
Bel

 

I too would echo the above replies.

Secondary bacterial infection. I had one like that once, they're a menace!

I would get the little fella straight back to the GP and ask for Abx - may even benefit from a swab being taken?

 

Thanks to Cornmerchant Blinda and DG Roberts.
This confirmed some of my thoughts. He went to the Gp yesterday(on his own of course!) and was given A/bs and clotrimazole cream and we hope for speedy resolution.Nice to know support is always available on this site.
Thanks everyone
Geoff
:santa: to one and all

 

Hope the problemresolved.

greenish discolouration is pathoneumonicfor Pseudomonas areg infection. commonly occurs sec to tinea. it could also be GAS (Group AStapy).
acetic acid wipes (venegar) would be a good start for pseudomonas.ands alluminium acetate soaks. if does not resolve ABs ciproflaxin or gentamycin or norfloxin 2 mg/kg for kids.

 

Hi

Take a look at this website....

http://dermatlas.med.jhmi.edu/derm/IndexDisplay.cfm?ImageID=1124463637

:santa: