### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I am 29 years old.I had hand foot and mouth disease back in March but appear to have it again. I had a fever of 40 and puss on my tonsils when I went to the docs a few days ago but since seeing him I have developed the horrible ulcer things that feel like I have splinters on my hands and feet. I also have a red rash over my legs but this is not prickly. Do you think this is hand, foot and mouth or something else. I have had a cut on my hand which is very fiery looking which was there before the spots appeared, could I have a different infection?

### output:

Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Hand foot and mouth disease is caused by the virus. It is usually a being infection. It usually does not cause any pus filled infections. Secondary bacterial infections usually occurs on the infection site of hand foot and mouth disease. I think you are having a secondary bacterial infection that is why pus is collected. In other case you may have some other bacterial infections which occurs directly because of the bacterial attack. I advise you should do culture and sensitivity from the pus arises. It will guide us regarding possible infections. Accordingly, we can use antibiotics to treat the infections effectively. Hygiene maintenance is very important as this can be equally important in treating infections.Handwashing is also a good tool good handwashing will never allow any infection to occur. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor.