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A 65-year-old woman with a 15-year history of diabetes presented with fever (temperature, 38.5°C), chills, malaise, and a rash on the medial surface of the right thigh, vulva, and lower abdominal wall (Panel A). The symptoms had progressed during the previous 48 hours. Three days earlier, she had visited a general practitioner for recurrent vulvar pruritus accompanied by excoriation due to scratching. A yeast infection was diagnosed, and she was treated with a topical antifungal agent. On admission, the physical examination revealed crepitus of the abdominal wall, with no vaginal discharge or evidence of a perianal abscess. Laboratory results included . . . [Full Text of this Article] |
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