Author/Authors :
TEKİN, Recep Diyabakır Children s Hospital - Microbiology Department, Turkey , YEŞİLOVA, Yavuz Silvan State Hospital - Dermatology Department, Turkey , BOŞNAK, Vuslat Dicle University Hospital - Department of Infectious Diseases, Turkey , ÇELEN, Mustafa Kemal Dicle University Hospital - Department of Infectious Diseases, Turkey , AYAZ, Celal Dicle University Hospital - Department of Infectious Diseases, Turkey
Abstract :
A thirty-two year old male farmer was hospitalized with the complaint of a wound on the right arm and high fever lasting for seven days. His complaints started 10 days after he had direct contact with meat from a diseased animal. The patient had a fever of 39–40°C. On physical examination, the right elbow extension region was 11x7 cm in diameter and had an ulcer base, presenting with sharp and irregular edges and containing necrotic crusts. The right arm extension and right wrist flexion regions had smaller diameters and similar ulcers (Figure 1). Painless lymphadenopathy 1.5x2 cm in size was detected in the right axillary region with deep palpation. Routine laboratory analysis indicated leucocytosis (16000/mm3), elevated CRP levels (20 mg/dl) and a sedimentation rate of 17 mm/hr.
