Severe Gram-Negative Intertrigo of the Feet
<strong>Introduction:</strong> Intertrigo is a common disease of the skin usually caused by fungi and/or bacteria, often involving major or minor skin folds. Here, we report a case of severe, ulcerative intertrigo of all interdigital folds of both feet caused by Pseudomonas aeruginosa in...
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| Format: | Article |
| Language: | English |
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International Travel Medicine Center of Iran
2017-11-01
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| Series: | International Journal of Travel Medicine and Global Health |
| Subjects: | |
| Online Access: | http://www.ijtmgh.com/article_53399_e78a2c8c62e8d6ac7ba6da3ea018fa3d.pdf |
| _version_ | 1819156731210498048 |
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| author | Luisa Angileri Stefano Veraldi |
| author_facet | Luisa Angileri Stefano Veraldi |
| author_sort | Luisa Angileri |
| collection | DOAJ |
| description | <strong>Introduction:</strong> Intertrigo is a common disease of the skin usually caused by fungi and/or bacteria, often involving major or minor skin folds. Here, we report a case of severe, ulcerative intertrigo of all interdigital folds of both feet caused by Pseudomonas aeruginosa in a patient with type II diabetes who acquired the infection during a trip to Senegal.<br /> <strong>Case Presentation:</strong> Lesions involved all toe-web spaces and the back of the toes and the soles. Ulcers with a purulent-necrotic bed, with some of them covered by brownish-black eschars associated with a greenish, odiferous discharge were recorded. The patient was treated with piperacillin/tazobactam IM for 14 days, achieving complete remission of the infection. In this article, we underline the importance of an early diagnosis and appropriate treatment to achieve healing of bacterial intertrigo without complications. Topical therapy with antiseptics (potassium permanganate, gentian violet solution, hydrogen peroxide) or antibiotics (gentamicin, amikacin) is effective only in early stages of the infection. Systemic antibiotics must be considered in all extensive and severe cases. The choice of antibiotic should be based on the culture and antibiogram results. When this is not possible, wide-spectrum antibiotics that act on both gram-positive and gram-negative bacteria (such as third-generation cephalosporin or quinolone) should be prescribed.<br /> <strong>Conclusion:</strong> The length of treatment should not be less than ten days. In addiction, all patients should be trained to avoid predisposing conditions and adopt preventive measures to reduce the risk of infection. |
| first_indexed | 2024-12-22T15:57:32Z |
| format | Article |
| id | doaj.art-3e576b2f7e714b599bf0c4328d96e1e8 |
| institution | Directory Open Access Journal |
| issn | 2322-1100 2476-5759 |
| language | English |
| last_indexed | 2024-12-22T15:57:32Z |
| publishDate | 2017-11-01 |
| publisher | International Travel Medicine Center of Iran |
| record_format | Article |
| series | International Journal of Travel Medicine and Global Health |
| spelling | doaj.art-3e576b2f7e714b599bf0c4328d96e1e82022-12-21T18:20:45ZengInternational Travel Medicine Center of IranInternational Journal of Travel Medicine and Global Health2322-11002476-57592017-11-0162818310.15171/ijtmgh.2018.1553399Severe Gram-Negative Intertrigo of the FeetLuisa Angileri0Stefano Veraldi1Department of Pathophysiology and Transplantation, Università degli Studi di Milano, I.R.C.C.S. Foundation, Cà Granda Ospedale Maggiore Policlinico, Milan, ItalyDepartment of Pathophysiology and Transplantation, Università degli Studi di Milano, I.R.C.C.S. Foundation, Cà Granda Ospedale Maggiore Policlinico, Milan, Italy<strong>Introduction:</strong> Intertrigo is a common disease of the skin usually caused by fungi and/or bacteria, often involving major or minor skin folds. Here, we report a case of severe, ulcerative intertrigo of all interdigital folds of both feet caused by Pseudomonas aeruginosa in a patient with type II diabetes who acquired the infection during a trip to Senegal.<br /> <strong>Case Presentation:</strong> Lesions involved all toe-web spaces and the back of the toes and the soles. Ulcers with a purulent-necrotic bed, with some of them covered by brownish-black eschars associated with a greenish, odiferous discharge were recorded. The patient was treated with piperacillin/tazobactam IM for 14 days, achieving complete remission of the infection. In this article, we underline the importance of an early diagnosis and appropriate treatment to achieve healing of bacterial intertrigo without complications. Topical therapy with antiseptics (potassium permanganate, gentian violet solution, hydrogen peroxide) or antibiotics (gentamicin, amikacin) is effective only in early stages of the infection. Systemic antibiotics must be considered in all extensive and severe cases. The choice of antibiotic should be based on the culture and antibiogram results. When this is not possible, wide-spectrum antibiotics that act on both gram-positive and gram-negative bacteria (such as third-generation cephalosporin or quinolone) should be prescribed.<br /> <strong>Conclusion:</strong> The length of treatment should not be less than ten days. In addiction, all patients should be trained to avoid predisposing conditions and adopt preventive measures to reduce the risk of infection.http://www.ijtmgh.com/article_53399_e78a2c8c62e8d6ac7ba6da3ea018fa3d.pdfIntertrigo, Pseudomonas aeruginosaGram-Negative Infection |
| spellingShingle | Luisa Angileri Stefano Veraldi Severe Gram-Negative Intertrigo of the Feet International Journal of Travel Medicine and Global Health Intertrigo, Pseudomonas aeruginosa Gram-Negative Infection |
| title | Severe Gram-Negative Intertrigo of the Feet |
| title_full | Severe Gram-Negative Intertrigo of the Feet |
| title_fullStr | Severe Gram-Negative Intertrigo of the Feet |
| title_full_unstemmed | Severe Gram-Negative Intertrigo of the Feet |
| title_short | Severe Gram-Negative Intertrigo of the Feet |
| title_sort | severe gram negative intertrigo of the feet |
| topic | Intertrigo, Pseudomonas aeruginosa Gram-Negative Infection |
| url | http://www.ijtmgh.com/article_53399_e78a2c8c62e8d6ac7ba6da3ea018fa3d.pdf |
| work_keys_str_mv | AT luisaangileri severegramnegativeintertrigoofthefeet AT stefanoveraldi severegramnegativeintertrigoofthefeet |