29-Year-Old Woman With Fever and Bilateral Lower Extremity Lesions
A 29-year-old woman with a history of obesity (body mass index, 39 kg/m2) and polycystic ovarian syndrome presented to her primary care physician in late spring for evaluation of fever (39.3°C), chills, and a boil on the inner thigh. She was otherwise healthy, had been feeling well, and was enjoying...
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| Veröffentlicht in: | Mayo Clinic proceedings 2018-11, Vol.93 (11), p.1659-1663 |
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| description | A 29-year-old woman with a history of obesity (body mass index, 39 kg/m2) and polycystic ovarian syndrome presented to her primary care physician in late spring for evaluation of fever (39.3°C), chills, and a boil on the inner thigh. She was otherwise healthy, had been feeling well, and was enjoying her weekly fishing excursions at several of the lakes in Minnesota until the day before the evaluation, when she had noted pain and induration on the medial aspect of her right upper thigh. She inserted a needle into this area, but no fluid was expressed. The pain progressed, and erythema was noted around the lesion. A similar phenomenon on the medial aspect of her left upper thigh developed; however, this was not punctured. She was given ibuprofen and ultimately directed to the emergency department for further evaluation of presumed abscesses. |
| doi_str_mv | 10.1016/j.mayocp.2018.02.027 |
| format | Article |
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She was otherwise healthy, had been feeling well, and was enjoying her weekly fishing excursions at several of the lakes in Minnesota until the day before the evaluation, when she had noted pain and induration on the medial aspect of her right upper thigh. She inserted a needle into this area, but no fluid was expressed. The pain progressed, and erythema was noted around the lesion. A similar phenomenon on the medial aspect of her left upper thigh developed; however, this was not punctured. She was given ibuprofen and ultimately directed to the emergency department for further evaluation of presumed abscesses.</description><identifier>ISSN: 0025-6196</identifier><identifier>EISSN: 1942-5546</identifier><identifier>DOI: 10.1016/j.mayocp.2018.02.027</identifier><identifier>PMID: 30269942</identifier><language>eng</language><publisher>England: Elsevier Inc</publisher><subject>Abscess ; Acute myeloid leukemia ; Antibiotics ; Biopsy ; Blood ; Blood levels ; Body mass index ; C-reactive protein ; Care and treatment ; Case studies ; Clindamycin ; Colon ; Corticosteroids ; Creatine ; Creatine kinase ; Creatinine ; Diagnosis ; Erythema ; Fever ; Fishing (Recreation) ; Genetic screening ; Hemoglobin ; Immunoglobulin A ; Inflammation ; Inflammatory bowel diseases ; Intestine ; Lactic acid ; Malignancy ; Monoclonal gammopathy ; Myeloid leukemia ; Necrotizing fasciitis ; Obesity ; Pain ; Patients ; Physicians ; Polycystic ovary syndrome ; Primary care ; Pyoderma gangrenosum ; Skin ; Staphylococcus infections ; Substance abuse treatment ; Surgery ; Systemic diseases ; Ultrasonic imaging ; Ultrasound ; Wound healing</subject><ispartof>Mayo Clinic proceedings, 2018-11, Vol.93 (11), p.1659-1663</ispartof><rights>2018</rights><rights>COPYRIGHT 2018 Frontline Medical Communications Inc.</rights><rights>Copyright Mayo Foundation for Medical Education and Research Nov 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c455t-58a2a19c7477059e2cc2b3254e9e38c4f6e537099d64bb747c151ba82553a29b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2148593922?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,64385,64387,64389,72469</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30269942$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ebner, Derek W.</creatorcontrib><creatorcontrib>Hu, Marie</creatorcontrib><creatorcontrib>Poterucha, Thomas H.</creatorcontrib><title>29-Year-Old Woman With Fever and Bilateral Lower Extremity Lesions</title><title>Mayo Clinic proceedings</title><addtitle>Mayo Clin Proc</addtitle><description>A 29-year-old woman with a history of obesity (body mass index, 39 kg/m2) and polycystic ovarian syndrome presented to her primary care physician in late spring for evaluation of fever (39.3°C), chills, and a boil on the inner thigh. She was otherwise healthy, had been feeling well, and was enjoying her weekly fishing excursions at several of the lakes in Minnesota until the day before the evaluation, when she had noted pain and induration on the medial aspect of her right upper thigh. She inserted a needle into this area, but no fluid was expressed. The pain progressed, and erythema was noted around the lesion. A similar phenomenon on the medial aspect of her left upper thigh developed; however, this was not punctured. She was given ibuprofen and ultimately directed to the emergency department for further evaluation of presumed abscesses.</description><subject>Abscess</subject><subject>Acute myeloid leukemia</subject><subject>Antibiotics</subject><subject>Biopsy</subject><subject>Blood</subject><subject>Blood levels</subject><subject>Body mass index</subject><subject>C-reactive protein</subject><subject>Care and treatment</subject><subject>Case studies</subject><subject>Clindamycin</subject><subject>Colon</subject><subject>Corticosteroids</subject><subject>Creatine</subject><subject>Creatine kinase</subject><subject>Creatinine</subject><subject>Diagnosis</subject><subject>Erythema</subject><subject>Fever</subject><subject>Fishing (Recreation)</subject><subject>Genetic screening</subject><subject>Hemoglobin</subject><subject>Immunoglobulin A</subject><subject>Inflammation</subject><subject>Inflammatory bowel diseases</subject><subject>Intestine</subject><subject>Lactic acid</subject><subject>Malignancy</subject><subject>Monoclonal gammopathy</subject><subject>Myeloid leukemia</subject><subject>Necrotizing fasciitis</subject><subject>Obesity</subject><subject>Pain</subject><subject>Patients</subject><subject>Physicians</subject><subject>Polycystic ovary syndrome</subject><subject>Primary care</subject><subject>Pyoderma gangrenosum</subject><subject>Skin</subject><subject>Staphylococcus infections</subject><subject>Substance abuse treatment</subject><subject>Surgery</subject><subject>Systemic diseases</subject><subject>Ultrasonic imaging</subject><subject>Ultrasound</subject><subject>Wound healing</subject><issn>0025-6196</issn><issn>1942-5546</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kU1r3DAQhkVpaTZp_0EphkLoxY6-bV0KSUjSwEIuKaEnIcvjrhbb2kpy2v331eK0ND0UDWgYnleamRehdwRXBBN5tq1Gs_d2V1FMmgrTHPULtCKK01IILl-iFcZUlJIoeYSOY9xijGul-Gt0xDCVOaMrdEFV-RVMKO-Grnjwo5mKB5c2xTU8QijM1BUXbjAJghmKtf-Ra1c_U4DRpX2xhuj8FN-gV70ZIrx9uk_Ql-ur-8vP5fru5vbyfF1aLkQqRWOoIcrWvK6xUECtpS2jgoMC1ljeSxCsxkp1krdtpiwRpDUNFYIZqlp2gj4u7-6C_z5DTHp00cIwmAn8HDUlRNCaSdJk9MM_6NbPYcrdZYo3QjFFaaaqhfpmBtBu6n0KxubT5fmsn6B3uX4uJJdYEIaz4PQvwQbMkDbRD3M6rOE5yBfQBh9jgF7vghtN2GuC9cE9vdWLe_rgnsY0R51l75_antsRuj-i33Zl4NMCQN7zo4Ogo3UwWehcAJt0593_f_gFjQqoaA</recordid><startdate>201811</startdate><enddate>201811</enddate><creator>Ebner, Derek W.</creator><creator>Hu, Marie</creator><creator>Poterucha, Thomas H.</creator><general>Elsevier Inc</general><general>Frontline Medical Communications Inc</general><general>Elsevier Limited</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>4U-</scope><scope>7RV</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>201811</creationdate><title>29-Year-Old Woman With Fever and Bilateral Lower Extremity Lesions</title><author>Ebner, Derek W. ; Hu, Marie ; Poterucha, Thomas H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c455t-58a2a19c7477059e2cc2b3254e9e38c4f6e537099d64bb747c151ba82553a29b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Abscess</topic><topic>Acute myeloid leukemia</topic><topic>Antibiotics</topic><topic>Biopsy</topic><topic>Blood</topic><topic>Blood levels</topic><topic>Body mass index</topic><topic>C-reactive protein</topic><topic>Care and treatment</topic><topic>Case studies</topic><topic>Clindamycin</topic><topic>Colon</topic><topic>Corticosteroids</topic><topic>Creatine</topic><topic>Creatine kinase</topic><topic>Creatinine</topic><topic>Diagnosis</topic><topic>Erythema</topic><topic>Fever</topic><topic>Fishing (Recreation)</topic><topic>Genetic screening</topic><topic>Hemoglobin</topic><topic>Immunoglobulin A</topic><topic>Inflammation</topic><topic>Inflammatory bowel diseases</topic><topic>Intestine</topic><topic>Lactic acid</topic><topic>Malignancy</topic><topic>Monoclonal gammopathy</topic><topic>Myeloid leukemia</topic><topic>Necrotizing fasciitis</topic><topic>Obesity</topic><topic>Pain</topic><topic>Patients</topic><topic>Physicians</topic><topic>Polycystic ovary syndrome</topic><topic>Primary care</topic><topic>Pyoderma gangrenosum</topic><topic>Skin</topic><topic>Staphylococcus infections</topic><topic>Substance abuse treatment</topic><topic>Surgery</topic><topic>Systemic diseases</topic><topic>Ultrasonic imaging</topic><topic>Ultrasound</topic><topic>Wound healing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ebner, Derek W.</creatorcontrib><creatorcontrib>Hu, Marie</creatorcontrib><creatorcontrib>Poterucha, Thomas H.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>University Readers</collection><collection>Nursing & Allied Health Database</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>eLibrary</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>Mayo Clinic proceedings</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ebner, Derek W.</au><au>Hu, Marie</au><au>Poterucha, Thomas H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>29-Year-Old Woman With Fever and Bilateral Lower Extremity Lesions</atitle><jtitle>Mayo Clinic proceedings</jtitle><addtitle>Mayo Clin Proc</addtitle><date>2018-11</date><risdate>2018</risdate><volume>93</volume><issue>11</issue><spage>1659</spage><epage>1663</epage><pages>1659-1663</pages><issn>0025-6196</issn><eissn>1942-5546</eissn><abstract>A 29-year-old woman with a history of obesity (body mass index, 39 kg/m2) and polycystic ovarian syndrome presented to her primary care physician in late spring for evaluation of fever (39.3°C), chills, and a boil on the inner thigh. She was otherwise healthy, had been feeling well, and was enjoying her weekly fishing excursions at several of the lakes in Minnesota until the day before the evaluation, when she had noted pain and induration on the medial aspect of her right upper thigh. She inserted a needle into this area, but no fluid was expressed. The pain progressed, and erythema was noted around the lesion. A similar phenomenon on the medial aspect of her left upper thigh developed; however, this was not punctured. She was given ibuprofen and ultimately directed to the emergency department for further evaluation of presumed abscesses.</abstract><cop>England</cop><pub>Elsevier Inc</pub><pmid>30269942</pmid><doi>10.1016/j.mayocp.2018.02.027</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Abscess Acute myeloid leukemia Antibiotics Biopsy Blood Blood levels Body mass index C-reactive protein Care and treatment Case studies Clindamycin Colon Corticosteroids Creatine Creatine kinase Creatinine Diagnosis Erythema Fever Fishing (Recreation) Genetic screening Hemoglobin Immunoglobulin A Inflammation Inflammatory bowel diseases Intestine Lactic acid Malignancy Monoclonal gammopathy Myeloid leukemia Necrotizing fasciitis Obesity Pain Patients Physicians Polycystic ovary syndrome Primary care Pyoderma gangrenosum Skin Staphylococcus infections Substance abuse treatment Surgery Systemic diseases Ultrasonic imaging Ultrasound Wound healing |
| title | 29-Year-Old Woman With Fever and Bilateral Lower Extremity Lesions |
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