Wow. this was obviously a serious infection that was spreading beyond the big toe to the entire foot. He needed immediate attention and was sent to the ER. He was given pain medication, two antibiotics and the toe was drained. The next photo looked was this:
Oops, that fresh pus shouldn't be there. Overall the healing is great but now I suspect a foreign body that might be keeping a nidus of infection. Unfortunately he will need further debridement to see what is causing that continued oozing.
Tomorrow I'll get him hooked up with a surgeon who can take a look at it.