Presentation of CaseAn 18-year-old man was admitted to the hospital because of bilateral apical infiltrates and skin lesions.He was in excellent health until three years earlier, when cystic acne appeared on the neck and back. Three months before admission multiple new lesions developed. A dermatologist noted inflamed cystic and nodular lesions, 0.3 to 1.5 cm, on the face, chest, and back. Ten were ulcerated to a depth of 0.5 to 1.0 cm and drained purulent material. Cultures of the lesions yielded no growth of pathogens on two occasions and yielded Staphylococcus aureus once. Tetracycline was administered, followed by . . .
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Cabot et al. (1986) studied this question.
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