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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Need Treatment For Fungal Hyphae Spores On The Toe

My big toe was getting very red, pus like forming under nail and hurting....even during the night sometimes. Went to food doctor he cut off some of the name and sent it off. Come back Hyperkeratosis and PAS positive for fungal hyphae spores. He had me to take Lamisil for 30 days and use Formula 3 on nail.
Still getting red and very sensitive. So I went back to him. He cut back more nail and done a swab like test on the area under where he cut off nail. It come back few WBC's and few gram positive cocci. Prescribed me gentamicin ointment.
Can you tell me if I am a contagious? What is really going on? Is there some underline problem here that I should be aware and cautious about? Just concerned for my granddaughters and husband.
Thanks in advance for any information you can give me on this.
Mon, 11 Aug 2014
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General & Family Physician 's  Response
Hi, thanks for using healthcare magic

Fungal infections of the toenails (tinea unguinum) are normally treated by oral anti fungals for at least 12 weeks.
You would have needed another 8 weeks of the lamisil for the fungi to be appropriately treated.

You need to consider either restarting the oral lamisil (would need to restart from beginning to 12 weeks ) or use another oral antifungal agent.
Another choice is sporanox- also requires a 3 month course when dealing with toenails

I hope this helps
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Need Treatment For Fungal Hyphae Spores On The Toe

Hi, thanks for using healthcare magic Fungal infections of the toenails (tinea unguinum) are normally treated by oral anti fungals for at least 12 weeks. You would have needed another 8 weeks of the lamisil for the fungi to be appropriately treated. You need to consider either restarting the oral lamisil (would need to restart from beginning to 12 weeks ) or use another oral antifungal agent. Another choice is sporanox- also requires a 3 month course when dealing with toenails I hope this helps