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Two circular holes in bottom of toe, with pus discharge and swelling. Is it Gout?

I have a pt with a single toe that is swollen and hard to the touch. There are two circular holes on the bottom of the toe and when the toe is squeeze there is a white toothpaste consistancy discharge that comes out. There is no odor. His pcp says that it is just gout . I am concerned for this pt, and the toe is only getting worse.
Asked On : Sat, 22 Dec 2012
Answers:  1 Views:  81
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General & Family Physician 's  Response
From history it seems that he might have Osteomyelitis of toe.
Go for x-ray toe and find out the reason.
After diagnosis line of treatment can be decided.
Rule out diabetic foot as well.
Ok and take care.
Answered: Wed, 7 Aug 2013
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