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Pyoderma Gangrenosa Treated with Electroshock. Presented by John D. DeMott, M.D. and William H. Goodson Jr., M.D.
The patient, a 33-year-old white woman, was seen in neuropsychiatric consultation at Trinity Hospital on February 4, 1959. Patient presented history of ulcerative colitis of more than twelve years' duration, and recurrent ulcerations of both lower extremities, and other parts of the body, for over five years' duration. The patient had been hospitalized in March, 1956, with ruptured gangrenous appendix, and a resulting fecal fistula of the right lower quadrant. The patient was rehospitalized January 19, 1959, with a diagnosis of chronic ulcerative colitis, fecal fistula, and pyoderma gangrenosa. On admission, patient ran a septic temperature to 102.4, which became normal after about two days. She had a profuse drainage from the fecal fistula, both lower extremities, and presented pyoderma gangrenosa which was severe.
The laboratory findings were white