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Previous Volume 352:2003-2012 May 12, 2005 Number 19 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Presentation of Case

A 38-year-old man was admitted to this hospital because of blurred vision and fever.

The patient had ulcerative colitis but had been well while receiving treatment with mercaptopurine and balsalazide until two weeks before admission, when a chronically draining pilonidal cyst was excised. Amoxicillin–clavulanate was prescribed after the operation. One week later, the patient noted the gradual onset of severe right anterior thigh pain; he had difficulty walking and a temperature as high as 38.3°C. He was admitted to another hospital.

On examination, the temperature was 38.8°C, and the abdomen was moderately distended but not tender. The right thigh was . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Pathological Discussion

Discussion of Management

Anatomical Diagnosis

Source Information

From the Cardiology Division (S.K.), the Gastroenterology Division (P.B.K.), and the Rheumatology Division (A.C.S.), Department of Medicine, and the Departments of Radiology (M.S.C.) and Pathology (J.R.S.), Massachusetts General Hospital; the Department of Ophthalmology, Massachusetts Eye and Ear Infirmary (C.S.F.); and the Departments of Medicine (S.K., P.B.K., A.C.S.), Ophthalmology (C.S.F.), Radiology (M.S.C.), and Pathology (J.R.S.), Harvard Medical School — all in Boston.

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