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NECROTIZING ULCERS COMPLICATING ERYSIPELAS

PAUL F. STOOKEY, M.D.; CARL R. FERRIS, M.D.; HUBERT M. PARKER, M.D.; LOUIS A. SCARPELLINO, M.D.
JAMA. 1934;103(12):903-907. doi:10.1001/jama.1934.02750380023005.
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During the past two years we have observed five instances of necrotizing ulcers complicating severe erysipelas. These ulcers were confined to the edematous, loose areolar tissue about the eyes. The distinguishing characteristics of the ulcers were their rapid development, phagedenic properties, punched out appearance, edematous base and profuse, creamy, yellow discharge. Two of the five cases resulted fatally. Three cases were observed in the Isolation Hospital, one in consultation with Dr. A. E. Eubank and one in consultation with Drs. H. B. Davis and Donald R. Black. The three cases observed in the Isolation Hospital were available for a bacteriologic study, which is the basis of this paper.

REPORT OF CASES 

Case 1.—  A white woman, aged 28, entered the hospital, Feb. 22, 1933, with typical severe erysipelas of the face. The loose areolar tissue about the eyes was markedly edematous. Three days later a necrotizing process developed in the

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