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Nonhealing Leg Ulceration
Keith Schumann, MD;
Kimberly Hollandsworth, MD;
Adrian Ormsby, MD
Cleveland Clinic Foundation, Cleveland, Ohio
Arch Dermatol. 2000;136:1263-1268.
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REPORT OF CASE
A 72-year-old diabetic woman who was receiving hemodialysis presented with a 10-month history of a nonhealing ulceration on her left leg. For several months, she had received care at a local wound center for presumed stasis dermatitis. Her treatment had consisted of topical steroids; various dressings, including an Unna boot; compression hosiery; and, occasionally, oral antibiotics. Bacterial wound cultures had been positive for Enterobacter cloacae and coagulase-negative staphylococci. The ulcerations had not only persisted, but had also slowly progressed, despite treatment. Prior evaluation also included ultrasonography of the patient's legs, which was negative for deep venous thrombosis, and a cytologic wound smear examination, which was negative for malignant cells.
Physical examination of her left leg revealed boggy erythematous plaques with several small ulcerations and prominent scarring (Figure 1). There were fistulous tracts within these plaques, as well as discrete . . . [Full Text of this Article]
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
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Human Protothecosis
Lass-Florl and Mayr
Clin. Microbiol. Rev. 2007;20:230-242.
ABSTRACT
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