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A Case for Diagnosis (Pyogenic Ulceration of the Nose). Presented by Dr. Maurice Costello (by invitation).
M. F., a woman aged 59, a teacher, has had an ulcer of the right side of the nasal septum and the floor of the right nasal cavity for the past thirteen months. It has increased in extent in spite of treatment.She was first seen by me six weeks ago, at which time she had an extensive ulceration involving the mucous membrane of both nasal cavities, with an irregular vertical perforation of the anterior portion of the nasal septum. The floor of the ulcer was covered with a tenacious seropurulent exudate. The skin of the cartilaginous portion of the nose was red and edematous. There was practically no pain.Frequent microscopic examinations of smears showed no Vincent organisms or tubercle bacilli. The Gram stain showed occasional gram-positive cocci which resembled pneumococci. Cultures showed
Gilmour AJ, Cipollaro AC. MANHATTAN DERMATOLOGIC SOCIETY. Arch Derm Syphilol. 1938;38(1):106–115. doi:10.1001/archderm.1938.01480130109016
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