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

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My Husband just stated with what he belived was gout (not had it for 2 yrs) soon he had high temp and going cold then realy bad swetting, his big tow was quite red and his hole foot was going red and even a darker with a small blister that was quite large time we arrived back to new Zealand from AUS. The puss and the infection got hold, to the point after we had seen 3 Doctors in AE and even out off Hours, by this time is tow was now going black!! with lots of puss out brake, in a few parts THEN AT LAST with bloods taken, full scan, plus swobs he was taken for his op!! to just clean the wound out by a 3ins cut to get in deep, and after a good clean he was back on the ward to be told the he could still have to have the tow taken off......... still with one more wash done he has just been advised it is Streptococcus type G he is fit and well lost eats a balanced diet after fitted with a Stent in 2011 would n we need to take more care and should I have him go back to a hart Physician when he gets out of Hosp. They have said he will come home with a pump and a drip to feed his meds for up to three weeks. We have taken photos stage by satge. Thanks Linda

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Hello, Welcome to Chat Doctor, Foot Infection is difficult to manage because of its weight-bearing chances of getting repeated injury & soiling. Usually it starts with a trauma or abrasion or puncture wound, skin involvements like edematous lesion, misfitting shoes. These get secondarily infected to form inflammation, ulcers, getting deep in the skin, soft tissue, may be sometimes up to the bones. You seem to have an ulcerative circular lesion with scaling of skin on your foot. Looking at its chronic standing I would like you to exclude few conditions-Diabetes-In diabetes due to raised blood sugar, infections do not respond to routine treatment. You should get your fasting & post meal blood & urine sugar tested & in case it is raised-consult a Planetologist for further investigations & specific treatment. A controlled blood sugar along with proper management of infection will heal completely. Peripheral vascular disease-This causes narrowing of peripheral blood vessels & condition needs to be excluded, as it causes chronic infections, more so in lower limb. The diagnosis is made by USG-Doppler, angiography, computerized Tomography. Please consult a surgeon for his expert advise For management of the wound as well as peripheral vascular disease. A detailed CBC, HBO & culture & sensitivity of the exudate from the infection site are usually done to define the exact causative organism & the sensitive antibiotic, medicine will be selected. Local management of the infection ulcer with proper cleaning, removal of dead tissue & application of healing agent is to be followed regularly till complete healing. This should be done under expert surgeons care. Wearing of proper shoes/socks to protect foot from further injury of new healing tissue should be followed after the treatment. Thank you.