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Darlene S. Johnson, MD; Terry Hadley, MD; Martin C. Mihm, Jr, MD
Harvard University Medical School, Boston, Mass

Arch Dermatol. 1999;135:983-988.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

REPORT OF A CASE

A 79-year-old morbidly obese, afebrile, white woman with diabetes and end-stage chronic obstructive pulmonary disease, which was being treated with long-term oral prednisone therapy, was admitted to her local hospital for a presumptive diagnosis of cellulitis of the right arm. She also had a history of elephantiasis with recurrent cellulitis in her lower extremities. Two months earlier, she had been hospitalized for pneumonia. During the interim, family members noted that her right hand, a former intravenous site, continued to drain clear fluid and never healed. A vague history of headache was retrospectively given. Two days before admission, the site on her right hand was noted to have a blue discoloration. Hemorrhagic bullae and erythema of her forearm, with diffuse tenderness, subsequently developed (Figure 1). Therapy with timentin, vancomycin, and gentamicin was initiated for the presumptive diagnosis . . . [Full Text of this Article]

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