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BMJ 2011; 343 doi: (Published 20 July 2011) Cite this as: BMJ 2011;343:d4430
  1. Merel M C Lambregts, resident internal medicine1,
  2. Philip H Rothbarth, specialist registrar medical microbiology1,
  3. Marianne B Crijns, specialist registrar dermatology2,
  4. Sander Anten, specialist registrar internal medicine1,
  5. Nathalie M Delfos, specialist registrar internal medicine and infectious diseases1
  1. 1Rijnland Hospital, Rijnland Ziekenhuis, Simon Smitweg 1, 2353 GA Leiderdorp, The Netherlands
  2. 2Anthonie van Leeuwenhoek NKI-AVL, Plesmanlaan 121, 1066 CX Amsterdam, The Netherlands
  1. m.lambregts{at}

A 35 year old woman noticed a vesiculo-pustular lesion on her chest and was admitted after the lesion ulcerated and secondary cellulitis …

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