<s>[INST] Hello doctor, I have a red, swollen and infected ingrown toe nail. It is speeding quickly and painfully. Yesterday I saw Dermatologist for the first time and she wrote me a prescription antibiotic of Ciprofloxacin 500mg/Thrice/day for one week and then do a partial toe nail surgery. Later, my last lab test was done and it was showing that my liver functions (SGPT / ALT (KINETIC) 96.70 U/L) while the normal rate is from 10 to 50 U/L and an ultrasound report on my liver says: "Diffuse severe fatty infiltration of the liver." I did not purchase the antibiotic because I am worried for my liver since I am on seven other medications daily. My question is: Can my liver sustain 7 different drugs while taking a 500 mg of antibiotic? [/INST] Hello. Thank you for providing the details in your history. My question is that, is it the first time that the liver fatty infiltration has been discovered? Did you have had a test called FIBROSURE or liver MRI/ biopsy? Cipro is relatively safe with liver disease but honestly it will not be my first choice for treatment of ingrown toe nail infection. </s>