title: Macerated foot dermatitis related to occlusive footwear.
abstract: Gram-negative bacterial toe-web infections (GNBTWI's) are relatively under-recognized among physicians. Even though skin infections are usually thought to involve gram-positive bacteria, gram-negative organisms have a particular affinity for the toe-web. We present two patients with GNBTWI's who presented with maceration of the toe-webs, vesiculopustules and a hyperkeratotic rim. Treatment includes using both oral and topical antibiotics along with antifungals to treat co-existing dermatophyte infections. Awareness of this condition is particularly important for primary care physicians in West Virginia, as a few of the potential risk factors include wearing occlusive footwear, such as work boots, and type II diabetes mellitus.
authors.affiliation: West Virginia University, Dept. of Med., Dermatology Section, P.O. Box 9158, Morgantown, WV 26506-9158, USA. kaitlin.g.vaughan@gmail.com
authors.forename: Vaughan
authors.initials: V
authors.lastname: Kaitlin
authors.forename: Zachary
authors.initials: Z
authors.lastname: Zinn
authors.forename: Roxann
authors.initials: R
authors.lastname: Powers
mesh_terms: D000151:Acinetobacter Infections / Q000188:drug therapy / Q000209:etiology / Q000382:microbiology; D040981:Acinetobacter baumannii / Q000302:isolation & purification; D000328:Adult; D003924:Diabetes Mellitus, Type 2 / Q000150:complications*; D005533:Foot Dermatoses / Q000188:drug therapy / Q000209:etiology / Q000382:microbiology*; D016905:Gram-Negative Bacterial Infections / Q000188:drug therapy / Q000209:etiology / Q000382:microbiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012775:Shoes / Q000009:adverse effects*