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Clinical Notes
August 10, 1964

An Unusual Foreign Body

JAMA. 1964;189(6):511-512. doi:10.1001/jama.1964.03070060121017

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Abstract

OCCASIONALLY the persistence of a small force can make itself felt in a large way. The following case report illustrates how a small oversight caused a long hospitalization and a considerable injury.

Report of a Case  A 68-year-old white male (BCH-1797361) was admitted to the Boston City Hospital on Feb 21, 1963, complaining of painful ulcerations of the left leg. These had been present for about two weeks; bilateral leg varicosities had been present for more than 20 years. He had periodically dressed the ulcers with rags. He had had no diabetes, nor any previous leg ulcerations, venous surgery, or thrombophlebitis.Vital signs were normal; temperature was 102 F ( 38.9 C ) rectally. The patient was unkempt and had an odor of alcohol. Examination was within normal limits excepting his legs. On the left, a circumferential purulent ulceration extended from the level of the malleoli 14 cm cephalad, with cellulitis to

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