An Ulcerated Nodule Associated With Lymphadenopathy
Sarah Boyce, BS;
José R. Peña, MD;
Daniel A. Davis, MD
University of Alabama at Birmingham
Arch Dermatol. 1999;135:983-988.
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REPORT OF A CASE
A 37-year-old male patient who had undergone renal transplantation presented with a 1-week history of a persistent fever (temperatures to 39°C). Physical examination revealed an ulcerated nodule over the right second metacarpal bone (Figure 1) and a 5-cm, firm, tender lymph node in the right axilla. The nodule developed in a scratch the patient had gotten while working in his rose garden. His adult cat had subsequently licked the wound. Excisional biopsy specimens were obtained from the cutaneous nodule (Figure 2) and the lymph node (Figure 3). The lymph node specimen was also stained with the Warthin-Starry silver preparation.
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Figure 1.
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Figure 2.
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Figure 3.
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What is your diagnosis?
An Ulcerated Nodule Associated With Lymphadenopathy
Routine histologic examination of the cutaneous nodule showed dermal abscesses surrounded by a halo of macrophages. Stains for infectious organisms (Fite, Gomori methenamine-silver, Warthin-Starry, . . . [Full Text of this Article]
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