Diagnosis: Cellulitis
Description: Tender hot big toe with area of skin necrosis
Morphology: Red,nonscaly
Site: Web spaces
Sex: F
Age: 59
Type: Clinical
Submitted By: Ian McColl
Differential DiagnosisHistory: Cellulitis of the big toe involves infection of the deep dermis and subcutaneous tissues with Strep Pyogenes and Staph aureus.In children cellulitis tends to involve the head and neck but in adults it is the peripheries.This lady had no obvious sources of entry for the organism.She did have lymphangitis and groin node tenderness and enlagement.She settled with intravenous Dicloxacillin.Skin peeling occured later.