Conversation: The conversation between human and AI assistant.
[|Human|] Hello. My elderly relative has been having a bad infection in her toe on and off for the last 8 months. She has been prescribed 7 courses of antibiotics which remove the infection somewhat. It is now back and blood spurts from the wound when uncovered. Can you please advise?
[|AI|]  Hello, You only mentioned that the patient has the infection for eight months, even after so many antibiotics she is not recovering. Now blood is oozing and I think black color. There is something wrong with its treatment. Such non-healing ulcer may be due to these possibilities, these include:1 Impaired blood supply, diagnosis can be confirmed by arteriography.2 Gangrene.3 Proper antibiotics and diagnosis not established. In my opinion, consult an orthopedic surgeon and get his opinion after CT SCAN to rule out osteomyelitis or tuberculosis. However, there are so many diseases causes such non-healing ulcer, but physical examination is important so deal as mentioned above. Hope I have answered your query. Let me know if I can assist you further.