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September 1998

Skin Ulcers Associated With a Tender and Swollen Arm

Arch Dermatol. 1998;134(9):1145-1150. doi:

A 3½-year-old white girl was admitted to Children's Hospital, Cincinnati, Ohio, after a month-long history of persistent spiking fevers and tenderness of her left wrist and left leg. An x-ray film and a bone biopsy specimen from the patient's left wrist showed changes consistent with osteomyelitis. Despite negative bone culture results, a central line was placed, and the patient was treated intravenously with vancomycin and cefotaxime sodium at home. The patient initially did well, but the spiking fevers and severe pain returned.

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