What is the diagnosis?

69 years old male has type 2 Diabetes Mellitus and hypertension, bilateral tenia pedis, plantar fascitis from more than a year and bilateral calcaneal spurs treated with steroid injections two weeks ago has recently this skin lesion in his right foot only from a week now, burning sensation, mild pruritis, mild pain with touching. On physical examination, palpable pulses noted with bilaterally normal sensation, tenderness, vital signs are normal Diagnosis? Management?

2 Likes

LikeAnswersShare
Eruptions are verrucas History of flareup after intralesional inj of steroid for calcaneal spur These are herpes zoster Rx tab acyclovir 800mg 5times a day for 7days Tab belastine 20mg 1od Tab azithromycin 500mg 1od Tab gabapentin 300mg+tab nortryptiline 10mg 1od at bedtime Tab neurobion forte 1od Locally acyclovir oint frequently Xylocaine gelly for instant relief NSAIDs as required Strict control of diabetes Review every week
Thanx dr Kute Ankush
0

View 4 other replies

Herpetic whitlow . It is an infection created by the herpes simplex virus (HSV). The infection produces a painful wound called a whitlow on the fingers. Caused by the herpes simplex virus (HSV), herpetic whitlow occurs mostly on the fleshy part of the index finger or thumb.
Yes. These seem more like HSV lesions than herpes zoster.
0
IT'S A..CASE OF.. ? HERPES ZOSTER.. NEED'S.. * STRICT GLYCEMIC CONTROL WITH ANTIDIABETIC MANAGEMENT WITH EXPERTS OPINION.. * ACYCLOVIR ORALLY AS WELL TOPICALLY AS PER REQUIREMENT.. * SYMPTOMATIC T/T..
Tnx Dr Shivraj Agarwal sir
0

View 1 other reply

?? Herpes / Dyshidrotic Eczema / ID Reaction
HZ Adv. Acyclovir
Pus filled pustules on foot Adv Antibiotic with gram positive cover E.g. Tab. Linezolid 600 mg twice a day Strict control of diabetes with insulin Observe for increase in size of pustules, of required drain them and send pus for culture Limb elevation Ecosprin, Cilostazole and Atorvastatin may be added in order to improve circulation
Herpes zoster is viral infection that occurs with reactivation of the varicella-zoster virus. It is usually a painful but self-limited dermatomal rash. Symptoms typically start with pain along the affected dermatome, which is followed in 2-3 days by a vesicular eruption.
???Herpes zoster ??? HSV ???ACD... with SSTI Neurokind G.. BID Tab cefixime 200 mg BID..for SSTI
SUGGESTIVE OF HERPES ZOSTER SECONDARY. TO .. CHRONIC DIABETIC. INFECTION
Teni pedis with secondary infections. DD Herpes zoster
Load more answers

Cases that would interest you