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Fever and Rash Complicating a Leg Ulcer
Sarmistha Bhattacharya, MD;
Yelva Lynfield, MD;
Abey Sarai, MD;
Usha Alapati, MD
State University of New York Health Science Center at Brooklyn (Drs Bhattacharya, Lynfield, and Sarai) and the Department of Veterans Affairs Medical Center, Brooklyn (Drs Bhattacharya, Lynfield, Sarai, and Alapati)
Arch Dermatol. 1998;134:365-370.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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REPORT OF A CASE
A 72-year-old white man came to the Department of Veterans Affairs Medical Center, Brooklyn, NY, because of a lesion above his right medial malleolus. It had begun 1 week earlier as a small, red papule that had become a pustule and then a necrotic ulcer with adherent black crust, surrounded by erythema, induration, and purpura (Figure 1). He denied trauma and local or systemic symptoms. He was in good general health, except for hypertension and stable angina, which were controlled by the use of propranolol, verapamil, and sublingual nitroglycerin.
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Figure 1.
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One hour later, he felt weak and chilly, and his temperature was 40°C. The findings of his general physical examination were normal. His white blood cell count was 5.4x109/L. He was treated with intravenous cefazolin, but he complained of severe headache and . . . [Full Text of this Article]
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