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July 28, 1969

The Dangerous Triangle (Still Dangerous)

Author Affiliations

Los Angeles

JAMA. 1969;209(4):561. doi:10.1001/jama.1969.03160170057019

To the Editor:—  "It's just a pimple, doctor," and "my nose has a tender spot," are common complaints. With our vast armamentarium of antibiotics, we are inclined to become blasé about these complaints and forget the formidable reports regarding the dangerous triangle. The following case demonstrates that, even with modern drugs, infections in this area should be regarded as serious, even emergent.

Report of a Case:—  A 31-year-old woman was first seen by a physician Jan 13, 1966, with the report that she had plucked some nasal hairs two days before. This was followed by edema and soreness around the dorsum of the nose. The patient received penicillin intramuscularly and was instructed to place hot packs on the nose. Twentyfour hours later, the penicillin therapy was repeated, followed by an antiinflammatory dose of radiation to the nose.On Jan 16, marked edema and discoloration of both eyelids and periorbital areas

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