title: Inflammatory tinea pedis with bacterial superinfection effectively treated with isoconazole nitrate and diflucortolone valerate combination therapy.
abstract: Undetected tinea pedis in a patient with diabetes can lead to serious bacterial infections with potentially serious consequences, such as foot amputations. Here we report on a 60-year-old patient with diabetes presenting with pain, severe pruritus, and malodour in the foot's interdigital area, and subsequently, diagnosed with inflammatory tinea pedis with bacterial superinfection. The patient was successfully treated with Travocort cream containing isoconazole nitrate 1% and diflucortolone valerate 0.1%; marked improvement occurred within 5 days.
authors.affiliation: Private Praxis, Bernauer Street 66, Oranienburg, Germany. friedrich.hautarzt@googlemail.com
authors.forename: Markus
authors.initials: M
authors.lastname: Friedrich
mesh_terms: D000287:Administration, Topical; D000900:Anti-Bacterial Agents / Q000008:administration & dosage*; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage*; D000935:Antifungal Agents / Q000008:administration & dosage*; D048909:Diabetes Complications; D004060:Diflucortolone / Q000008:administration & dosage / Q000031:analogs & derivatives*; D006801:Humans; D008297:Male; D008825:Miconazole / Q000008:administration & dosage / Q000031:analogs & derivatives*; D008875:Middle Aged; D017192:Skin Diseases, Bacterial / Q000150:complications / Q000188:drug therapy*; D015163:Superinfection / Q000188:drug therapy; D014008:Tinea Pedis / Q000150:complications / Q000188:drug therapy*; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D000893:Anti-Inflammatory Agents; D000935:Antifungal Agents; C013486:diflucortolone valerate; D008825:Miconazole; C020382:isoconazole; D004060:Diflucortolone