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Microbiology of ascending lymphangitis

from Medscape Pathology

A 73-year-old, white man presented to the emergency department with a draining wound on his right hand and erythematous subcutaneous nodules tracking up his right forearm. He stated that he sustained the wound to his hand during a traumatic injury while hammering in his barn three days prior to presentation. He was treated at another hospital with clindamycin, levofloxacin, and vancomycin, after which he demonstrated only mild improvement. His medical history was significant for long-term steroid use for pulmonary hemosiderosis. The patient was taken to surgery for incision and drainage of the hand wound. Specimens were sent for culture and direct examination. more

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