Tag Archives: Staphylococcus

Stubborn Creatures: Dormant Staphylococcus aureus

A healthy 70-year-old woman was admitted with a 3-day history of a pus-emitting wound on her left shin, in the absence of trauma. She was afebrile, and examination was normal excepting a warm, erythematous and tender area over her left distal tibia with a central swollen area discharging pus. Hemoglobin was 11.7 g/dL, white blood […]

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Curious Crosses: Injection-Induced Lesions

Skin biopsy provided an elusive diagnosis and evidence that the patient had likely omitted important information during medical interviews. A 43-year-old man with a history of alcohol and opioid use was admitted to the inpatient ward from the infectious disease clinic. For 2 weeks, he had experienced recurrent, painful skin nodules that expressed bloody, purulent […]

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Unmasking a Hidden Cause of Persistent Facial Ulceration: The Relevancy of a Neurologic Examination

Upon presentation, the patient was afebrile and hypertensive to 199/81 mm Hg. Physical examination revealed prominent tender left-sided preauricular and submandibular lymphadenopathy and a linear crusted ulcer with jagged edges extending from the inferior aspect of the medial left eyebrow to the left nasolabial fold (Figure 1). Neurologic examination was notable for left-sided ptosis and miosis, […]

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Staphylococcus aureus Bacteremia Masquerading as Leukocytoclastic Vasculitis

A 34-year-old Hispanic man with a history of alcoholic cirrhosis and type 2 diabetes mellitus presented with 2 weeks of diarrhea, nausea, vomiting, abdominal pain, rash, and syncope. Five days before presentation he developed an erythematous petechial rash on his right hand that spread sequentially to his left hand, forearms, feet, legs, and flanks. The […]

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