Abstract
A 75-year-old male with history of diabetes mellitus presented to emergency room with fever and left wrist pain, erythema and swelling for three days. Physical exam revealed tensile skin with purplish discoloration and crepitus over left hand and wrist (Figure 1a). Swelling and extreme tenderness extended to left wrist and forearm. Initial laboratory evaluation showed elevation of white blood cell count (31 200/mcL, normal range 4500–11 …
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