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Dermatology15 papers

Infection of toe

Last edited: 4/15/2026

Overview

Infection of the toe, often manifesting as a nodule and nail dystrophy, can result from various etiologies including trauma, fungal infections, or underlying systemic conditions. 1

Diagnosis

  • Clinical Presentation: Painful nodule and nail changes 1
  • Imaging: X-ray useful for identifying bony abnormalities or foreign bodies 1
  • Microbiological Testing: Cultures from nail or lesion if infection suspected 1

    • Management

  • Antimicrobial Therapy: Specific agents depend on culture results; empirical broad-spectrum antibiotics may be initiated 1
  • Surgical Intervention: Considered for abscess drainage or nail removal in severe cases 1
  • Supportive Care: Pain management, wound care, and offloading pressure from affected toe 1

    • Special Populations

  • Athletes: Tailored rehabilitation and protection from re-injury crucial 1
  • No specific guidance provided for pregnancy, pediatrics, or elderly populations in the given abstracts

    • Key Recommendations

  • Obtain imaging (e.g., X-ray) to assess underlying causes of toe nodule and nail dystrophy 1 (Evidence: Moderate)
  • Initiate empirical antimicrobial therapy pending culture results for suspected infections 1 (Evidence: Moderate)
  • Consider surgical drainage or nail removal for refractory or severe cases 1 (Evidence: Expert opinion)

    • References

    1 Price S, Rivard S. Soccer player with painful toe. The Journal of family practice 2022. link

    Original source

    1. [1]
      Soccer player with painful toe. — Price S, Rivard S The Journal of family practice (2022)
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