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A 35-year-old woman was admitted to the hospital because of pain and swelling of the right thigh.
The patient had been in excellent health until the morning before admission, when she observed a "pimple" on her right thigh. During the course of the day, the lesion enlarged, with increasing pain, swelling, and erythema, and was accompanied by nausea, vomiting, and delirium. She was transported by air from the Caribbean and arrived at this hospital around midnight.
The patient was married and resided with her husband on a Caribbean island, where her husband was employed. She was not a native of
Differential Diagnosis
Tropical Cutaneous Lesions
Papular Lesions
Subcutaneous Nodules
Myiasis
Tungiasis
Painless Nodular Lesions
Migratory Lesions
Ulcerative Lesions
Rapidly Progressive Soft-Tissue Infection
Cellulitis
Necrotizing Fasciitis
Streptococcal Necrotizing Fasciitis
Necrotizing Fasciitis Due to Vibrio
Diagnosis
Clinical Diagnosis
Dr. Deborah J. Hoadley's Diagnoses
Pathological Discussion
Pathological Diagnosis
Related Letters:
Case 28-2002: A Traveler with a Rapidly Progressive Soft-Tissue Infection
Johnson J. R., Gandhi R.
Extract |
Full Text |
PDF
N Engl J Med 2003;
348:176-177, Jan 9, 2003.
Correspondence
This article has been cited by other articles:
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