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Figure 1. A 78-year-old man with cardiac disease presented with pain in his left elbow of several hours' duration in the absence of trauma. Examination of the elbow disclosed no abnormalities, and he was admitted with a tentative diagnosis of atypical angina. His white-cell count was 4400 per cubic millimeter. Several hours later, ecchymoses and blistering of the left arm developed (Panel A), with severe pain and soft-tissue crepitus near the elbow. The patient rapidly became unresponsive and severely hypotensive and was immediately transported to the operating room while receiving intravenous penicillin. Radiographs in the operating room revealed subcutaneous . . . [Full Text of this Article] |
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