Abstract
A man in his 70s with type 2 diabetes mellitus and chronic obstructive pulmonary disease taking 10 mg prednisone daily presented with 2 months of right dorsal hand pustules with purulent drainage (Fig 1) after peripheral intravenous infiltration. Wound cultures grew multiple bacterial organisms, leading to antibiotic courses without resolution. Over time, the patient developed subcutaneous nodules in a sporotrichoid pattern along the forearm.
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