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Itchy reddish swelling on the foot. Itching spreading to the ankle. Fungal or bacterial infection?

top of foot from pinky toe to second toe, 1.5"-2" diameter circular area, is itchy, mildly swollen, red, and feels bruised. I'm 29 yrs. Healthy, athletic and have no medical hx. At first I thought it's was just athletes foot, but the tenderness on top of my foot makes me wonder if it's not an infection. It also appears to progress towards my ankle, but hard to tell. A 1.5 weeks ago, the itchiness was isolated to just my pinky toe area, but then suddenly 3 days ago I realized it spread across to the second two and 2" towards my ankle. Any thoughts on if it's fungus or bacterial infection?
Asked On : Wed, 17 Apr 2013
Answers:  2 Views:  71
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Dermatologist 's  Response
Welcome to HealthCare Magic
There are two possibilities. First one is you are having Tinea (Athlete's foot ) super added with bacterial infection.
Second one is you have Eczema super added with bacterial infection. It is the infection which is causing the pain and swelling. It is advisable to consult a dermatologist for confirmation. You need to take course of antibiotics along with definitive treatment of eczema / tinea.
Hope this helped
Take care
Answered: Wed, 17 Apr 2013
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Dermatologist Dr. Kalpana Pathak's  Response
I have gone through the detailed history and description provided.
I can think of two possibilities in your case a fungal infection or an eczematous rash. As the lesions are tender swollen red it seems a superadded bacterial infection is present . In such cases firstly the superadded infection needs to be treated followed by treatment of primary cause.
I would advise that you consult a dermatologist nearby. Bacterial infection would require oral and/or topical antibiotics. Once the infection will clear off antifungal or steroid cream may be prescribed for athlete's foot or eczema accordingly.
Hope that helped.
Take care
Answered: Wed, 17 Apr 2013
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