A 72-Year-Old Man With a Violaceous Rash and Sepsis.

Abstract:

CASE PRESENTATION:A 72-year-old man presented to our ED less than 24 hours following the acute onset of nausea, vomiting, and diarrhea. Within 12 hours of symptom onset, he noted bilateral lower extremity pain and swelling. His pain was associated with a new violaceous irregular rash on the anterior aspect of both feet and legs. There was no history of inciting trauma or recent wounds. In addition, there was no history of consumption of raw or undercooked food (including seafood) or recent change in food source. There was accompanying fever and chills for the same duration and painful swelling of his left thumb. His comorbidities included stage IIIb classical Hodgkin lymphoma diagnosed 4 months prior. His last dose of doxorubicin, bleomycin, vinblastine, and dacarbazine chemotherapy was 4 days before presentation. He had previously failed anti-CD30 monoclonal therapy resulting from attributed pancolitis.

journal_name

Chest

journal_title

Chest

authors

Gittens AT,Clarke JD,Abdelbaki S,Kwon JS

doi

10.1016/j.chest.2019.08.2186

subject

Has Abstract

pub_date

2020-02-01 00:00:00

pages

e41-e45

issue

2

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(19)33746-8

journal_volume

157

pub_type

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