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Staphylococcus aureus and Streptococcus group B in combination can act synergistically to produce a rapidly spreading infection.

Fig. 5.1 (a) Cellulitis of the right hallux, (b) Cellulitis of the right hallux and a collection of pus under callus, (c) Callus debrided and pus drained.

Lack of discharge does not necessarily mean that an ulcer is healed: it can indicate that callus has sealed it off, preventing drainage. If this happens the foot can deteriorate rapidly

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