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What does the top of his foot look like? The swelling is so extensive that it looks like infection or gout. Gout usually affects both feet. I would be tempted to use antibiotics. Is there any scab anywhere on the foot or a toe?

What have the nighttime temperatures been? The two middle toes have a bit of darkness that could be mild frostbite. How does the top of his foot look? Bumblefoot can happen on the top as well. I would try to rule out injury, infection of the foot, and gout.