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

Authors

Ayesha T. Gittens, Department of Internal Medicine, Yale-New Haven Health/Bridgeport Hospital, New Haven, CT.
John-Ross D. Clarke, Department of Internal Medicine, Yale-New Haven Health/Bridgeport Hospital, New Haven, CT. Electronic address: johnrossclarke@gmail.com.Follow
Shady Abdelbaki, Department of Rheumatology, Thomas Jefferson University, Philadelphia, PA.
Jeff S. Kwon, Division of Pulmonary, Critical Care and Sleep Medicine, Yale-New Haven Health/Bridgeport Hospital, New Haven, CT.

Document Type

Article

Publication Title

Chest

Abstract

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.

First Page

e41

Last Page

e45

DOI

10.1016/j.chest.2019.08.2186

Publication Date

2-1-2020

Recommended Citation

Gittens, Ayesha T.; Clarke, John-Ross D.; Abdelbaki, Shady; and Kwon, Jeff S., "A 72-Year-Old Man With a Violaceous Rash and Sepsis" (2020). Critical Care. 6.
https://scholar.bridgeporthospital.org/critical_care/6

Identifier

32033660 (pubmed); 10.1016/j.chest.2019.08.2186 (doi); S0012-3692(19)33746-8 (pii)