Abstract

A 50-year–old woman presented to the emergency department with severe calf pain after being pecked in the leg by a rooster 5 days earlier. She reported 2 puncture wounds from the attack, subjective fever, and progressive difficulty in walking because of the pain. She denied experiencing shortness of breath or chest pain. She arrived with a blood pressure of 131/85 mm Hg, a pulse rate of 74 beats/min, and a temperature of 37.2 °C (98.96 °F). Neurologic examination findings were normal, and she had normal posterial tibial and dorsalis pedis pulses and no warmth or redness to palpation, but she did have swelling and severe tenderness of the calf.

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