An unusual presentation of immersion foot.
We report a case of "green foot" in a child with a plaster cast applied for a fractured metatarsal who subsequently re-presented with circulatory compromise. The foot was green and smelly and profuse Pseudomonas aeruginosa was cultured. The infection cleared with simple exposure to air. Perhaps this diagnosis should be considered in patients presenting with circulatory compromise in a cast as severe infection can result in amputation.
Royal Aberdeen Children's Hospital, Accident and Emergency Department, Cornhill Road, Aberdeen, AB25 2ZG, UK. diana.macgregor@nhs.net
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D002370:Casts, Surgical / Q000009:adverse effects / Q000382:microbiology*; D002648:Child; D005500:Follow-Up Studies; D050723:Fractures, Bone / Q000000981:diagnostic imaging; D006801:Humans; D007102:Immersion Foot / Q000382:microbiology*; D008297:Male; D008684:Metatarsus / Q000293:injuries; D011552:Pseudomonas Infections / Q000209:etiology*; D011550:Pseudomonas aeruginosa / Q000302:isolation & purification; D011859:Radiography; D012916:Soccer / Q000293:injuries; D016896:Treatment Outcome