A Strange Ulcer
A 13-year-old girl presented with a 3 cm deep necrotic wound on her lower back []. One week before observation, she had begun to complain of flu-like symptoms and achiness. Three days before observation, she was falling in and out of consciousness. When her condition worsened, she was rushed to the emergency room. A lumbar puncture was performed, meningococcal meningitis was diagnosed and she was transferred to the Infectious Disease Ward of our hospital to start antibiotic therapy.\nHer medical history was unremarkable. She was otherwise healthy and had never suffered from allergies.\nPatch tests performed with 1%, 5%, and 10% PVP-I in Vaseline resulted negative. Circulating IgE levels were within normal limits.\nThe cutaneous lesion was treated with topical antibiotics (mupirocin cream) and clostridiopeptidase A ointment. At the third week follow-up, the lesions had healed with minimal reliquates.