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From
Rare Case of
Pasteurella canis
Bacteremia from Cellulitis
Rohan Madhu Prasad, Caitlin Heenan, Keerthi Gullapalli, Priyal Agarwal, Tyler Kemnic, Richa Tikaria
American Journal of Medical Case Reports
.
2021
, 9(8), 414-419 doi:10.12691/ajmcr-9-8-8
Figure 1.
Stage 1 of patient’s right lower extremity cellulitis (The anterior surface of the right lower extremity developed swelling and erythema)
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Figure 2.
Stage 2 of patient’s right lower extremity cellulitis (Blisters formed on the anterior right lower extremity.)
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Figure 3.
Stage 3 of patient’s right lower extremity cellulitis (The right lower extremity wounds evolved into scabs.)
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Figure 4.
Stage 4 of patient’s right lower extremity cellulitis (The right lower extremity wounds progressed to involve the anterior and posterior surfaces.)
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Figure 5.
Stage 5 of patient’s right lower extremity cellulitis (Three wounds on the right lower extremity ruptured, which had a diameter of 1-2cm.)
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Figure 6.
Stage 6 of patient’s right lower extremity cellulitis (Close up view showing two out of three wounds on the right lower extremity that had ruptured and was acutely bleeding. Picture was taken in the emergency room)
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Figure 7.
X-ray of right lower extremity (X-ray showed no acute fracture or dislocation, mild to moderate osteoarthritis changes, and soft tissue swelling)
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Figure 8.
Computed tomography of right lower extremity (Computed tomography revealed soft tissue edema, lymphedema, and venous stasis)
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Figure 9.
Histology of punch skin biopsy of posterior calf (This punch skin biopsy demonstrated endophytic growing atypical squamous lesions made of large keratinocytes and detached angulated nests of squamous cells with desmoplastic stroma that extended to the peripheral and deep edges of the biopsy. This was consistent with well differentiated and invasive squamous cell cancer)
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Figure 10.
Histology of punch skin biopsy of posterior calf with magnification on detached nests (Magnification of second punch skin biopsy showed detached angulated nests of squamous cells with desmoplastic stroma)
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Figure 11.
Histology of punch skin biopsy of anterior shin wound (This punch skin biopsy illustrated overlying hyperplastic epidermis, reactive proliferation of capillaries within the dermis, and collection of hemosiderin laden macrophages. This was consistent with chronic wounds and superimposed stasis dermatitis)
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Figure 12.
Patient’s dog (The dog is a mix breed of a papillon, a type of spaniel, and a german spitz)
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