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September 1939


Arch Derm Syphilol. 1939;40(3):501-509. doi:10.1001/archderm.1939.01490030158026

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Infection of the Skin Caused by an Anaerobic Streptococcus and Bacillus Coli. Presented by Dr. Frances Torrey.  C. G., a physician aged 65, was referred on Dec. 27, 1938, because of an extensive infection of the abdominal wall of two weeks' duration.This began as a dime-sized tender bluish red mass in the skin of the right lower quadrant. In twenty-four hours ulceration developed and extended rapidly. The entire right lower quadrant, the right groin and the medial third of the left lower quadrant were soon involved. The border was about 1½ inches (3.8 cm.) broad, indurated, bright red and tender. As it advanced peripherally, the area primarily involved tended to subside. The temperature ranged from 37.8 to 39.8 C. (100.04 to 103.64 F.) for two weeks. During this time the patient was stuporous and disoriented, and his condition was decidedly precarious. There was complete failure of local therapy alone

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