Case 28-1994

Abstract
Presentation of CaseA 51-year-old man was admitted to the hospital because of a nonhealing finger lesion with regional lymphadenopathy.The patient had been well until one month earlier, when a splinter abraded the dorsal aspect of the proximal interphalangeal joint of the left third finger while he was chopping wood. Two weeks later he observed enlargement and ulceration of the wound and consulted a physician. Radiographs of the hand were reported to be normal, and the patient took an unknown antibiotic for seven days, without improvement. Nine days before admission, he came to the emergency department of this hospital, . . .

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