An operating room employee with a necrotic fingertip

摘要

A 50-year-old, male, operating room employee presentedwith a swollen and painful left index finger and progressivelymphangitis on his left arm (patient A). Despite self-usageof antipyretics (paracetamol) and amoxicillin/clavulanate,prescribed by his general practitioner 1 day before presentation, he developed rigors.The symptoms started 2 days after assisting an open repairof a ruptured abdominal aortic aneurysm in a 73-year-oldmale (patient B).