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Q: Puncture wounds
asked by: DoctorQuestion on August 30th, 2009
The other evening after walking on the beach I noticed my big toe was soar, I thought nothing of it, but when I looked the next morning I saw a little dark spec on the left side(outter) part of my big toe on my right foot, thinking it was a splinter I dug it out, and figured I'd be fine, but my big toe has swollen up and the spot is red and still very painful. I've tried swabbing with alcohol, neosporin and a bandaid. Now, 24-hours later it is no better, if anything it feels more swollen, and it is constantly aching. I'm a little nervous that it's not going away, it is now a little hole where the spot/bump was, but no bleeding. What could this be, and what should I do to treat it?


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Dr. Goce Aleksovski , MD
replied on September 1st, 2009
Foot Disorders Answer A7182
Given the data you provided (sore and swollen toe after dark spec was extracted, little hole on the spot with no bleeding), you might be experiencing a puncture wound caused by a minor sharp object. The object is likely to have been too small to reach the blood vessels beneath the skin.
However, it might have been contaminated with either microbiological agents (bacteria or viruses) or a substance that is able to cause inflammation of the skin.

You might want to visit a primary health care physician who might be able to recognize the source of the spec. Anti-inflammatory drugs might be recommended. If the wound is contaminated then local or systemic antibiotics might be given to prevent or to solve an already existing infection.




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