Case 41-1989

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Abstract
Presentation of CaseA 65-year-old man was admitted to the hospital because of bullous cellulitis of the left lower extremity.The patient was in a stable state of health until seven days earlier, when he waded in the muddy waters, with oil slicks, of an estuarial river near Cape Cod to retrieve an anchor. Although he was not aware of any injury, about two hours later he began to experience increasing pain in the left ankle, with erythema, swelling, and tenderness that progressed rapidly up the leg. Six hours thereafter the patient crawled to a telephone to call an ambulance . . .