What is this?

This is what it looks like right now. After taking the shoe off.
 

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According to that article the silver sulfadiazine is better at treating very serious infections I’d use it. You can use the tweezers to pull off the scab or just try and pull it off with your finger nail. Once you get the scab off get a pic of what’s inside. More than likely you’ll need the tweezers to get the infection out.
 
Also try to debride (scrape out the bad tissue) the wound and then soak in epsom salt bath and fill the entire space with Neosporin and gauze and vet wrap. It's important to keep it as clean as possible.
 

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