There Must Be Something in the Water – an Unusual Cutaneous Infection

A 77-year-old man presented to the emergency department with a six-week history of a non-healing violaceous nodular plaque on the dorsum of his right hand after he sustained a minor puncture injury on the side of a boat while sailing on the Chesapeake Bay. His past medical history was significant for heart failure with preserved ejection fraction, chronic kidney disease stage 3, coronary artery disease, aortic stenosis, and gout. Given lack of healing over the subsequent weeks, he twice sought care at local urgent care centers without response to cephalexin and later clindamycin.
Source: The American Journal of Medicine - Category: General Medicine Authors: Tags: Diagnostic Dilemma Source Type: research