Abstract

A 57-year-old male previously healthy patient presented with a 1-week history of fever. Two weeks ago, he went to Orchid Island, which is near the east coast of Taiwan for diving. One week later, he experienced fever, shaking chills, headache cough with yellowish sputum and mild dyspnea after returning from Orchid Island. He visited our hospital and was admitted. Physical examination revealed a red indurated lesion surrounding a black necrotic center over left flank area …

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