This case report describes the clinical presentation and initial management of a patient with lower extremity lesions and an inguinal mass.
Supports consideration of IV cephalexin in similar presentations; leaves open generalizability and need for prospective confirmation.
Presentation of CaseA 57-year-old man was admitted to the hospital because of reddish-purple lesions on the right lower extremity.The patient had been well until the age of 38 years, when he felt a mass in the right inguinal region. Two years later the mass increased slightly in size, and warmth and erythema developed about it, with a rise in the temperature to 39.9 °C. The patient was admitted to the hospital, where physical examination showed a mass, 12.7 by 10 cm, in the right inguinal region. Cephalexin was administered by vein, with prompt resolution of the fever, local . . .
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Cabot et al. (1993) studied this question.
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