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P. W., a white woman aged 66, was examined on July 10, 1945, because she complained of a papular urticarial eruption on the limbs which had been present for about five days. At this time she called attention to an eruption confined to the third finger of her right hand. She stated that on July 7 she cleaned a perch, and one of the sharp scales became embedded in her finger. The finger presented a mottled red appearance. It was swollen and shiny and painful to pressure. There were pain and stiffness when the finger was flexed. The portal of entry of the infection was at about the middle of the medial aspect of the finger, where there was a whitish spicule embedded in the skin. The patient's temperature was 100.2 F. She was advised to apply wet compresses and to return to the office in one week.
Costello MJ. ERYSIPELOID TREATED SUCCESSFULLY WITH INJECTIONS OF PENICILLIN: Report of a Case. Arch Derm Syphilol. 1945;52(5):400. doi:https://doi.org/10.1001/archderm.1945.01510290105022
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