A 61-year-old white man was seen with a 6-day history of fever, dense sputum, dysphonia, and neck pain. His medical history was significant for hypertension, atrial fibrillation, and esophageal carcinoma. He was admitted to the emergency department with a diagnosis of cellulitis, and systemic antibiotics were administered. Laboratory investigations showed hyperglycemia (glucose level, 150 mg/dL) and raised C-reactive protein levels (12.9 mg/dL). (To convert glucose to millimoles per liter, multiply by 0.0555; C-reactive protein to nanomoles per liter, multiply by 9.524.) Chest radiography findings were normal. Dermatologic consultation was requested.
Fuertes I, Guilabert A, Salvador R. Atypical Subcutaneous Emphysema Mimicking Cellulitis. Arch Dermatol. 2011;147(2):253-255. doi:10.1001/archdermatol.2010.436