Pseudomonas toe web infection and autosensitisation dermatitis: Diagnostic and therapeutic challenge

Autoeczematization: A Strange Id Reaction of the Skin

“…18,[20][21][22] Mycobacterium species, Pseudomonas, Staphylococcus, and Streptococcus are bacterial causes of AE. 15,[23][24][25][26] Viral infections that can cause an id reaction are herpes simplex virus and molluscum contagiosum. [27][28][29] Scabies, leishmaniasis, and pediculosis capitis are parasitic infections that may be etiologic.…”

Gram-Negative Toe Web Infections

“…GNTWI presents as an exudative, erythematous maceration with malodorous discharge in the toe web spaces ( Figure 2 ) [ 7 ]. There may be accompanying vesicles, pustules, papulovesicles, cracking and fissuring [ 5 , 7 , 8 ]. The skin may have greenish discoloration in culture-positive pseudomonas toe web infections [ 6 ].…”

“…GNTWI may present similarly to various infectious and noninfectious conditions that involve the toe web spaces. Therefore, several diagnoses should be considered before treatment [ 7 ].…”

“…The most commonly reported systemic treatment for GNTWI is oral ciprofloxacin [ 5 , 7 , 18 ]. In a case report of a 47-year-old male with GNTWI caused by Pseudomonas aeruginosa with autosensitization dermatitis, there was gradual improvement following two weeks of 250 mg oral ciprofloxacin twice daily with gauze dressings and topical application of tobramycin [ 7 ].…”

“…The most commonly reported systemic treatment for GNTWI is oral ciprofloxacin [ 5 , 7 , 18 ]. In a case report of a 47-year-old male with GNTWI caused by Pseudomonas aeruginosa with autosensitization dermatitis, there was gradual improvement following two weeks of 250 mg oral ciprofloxacin twice daily with gauze dressings and topical application of tobramycin [ 7 ]. Aste et al also demonstrated complete eradication after 10 days of 500 mg oral ciprofloxacin twice daily for patients presenting with severe cases of GNTWI (number of patients treated not specified) [ 5 ].…”