Over days, a patient's relatively small lesion evolved into widespread tissue damage.
A previously healthy 49-year-old Arab woman was admitted for a 2-cm painful red lesion
on her left breast. She had been well until a few days earlier, when she developed
left flank pain and was treated with ofloxacin for a presumed urinary tract infection.
During the first 48 hours of her admission, the erythematous lesion over the left
breast progressed, developing the appearance of a hematoma. Ultimately, it involved
the entire breast (Figure 1). The patient denied trauma. At the same time, her hemoglobin level decreased by
2 g/dL. Her prothrombin time, partial thromboplastin time, fibrinogen concentration,
and platelet count were all within normal limits.
Figure 1The patient's left breast appeared to have an extensive hematoma with a clearly demarcated
border.
Keywords
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Article Info
Publication History
Published online: October 24, 2018
Thomas J. Marrie, MD, Section EditorFootnotes
Funding: None.
Conflict of Interest: None.
Authorship: All authors had access to the data and a role in writing the manuscript.
Identification
Copyright
© 2018 Elsevier Inc. All rights reserved.
