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Lana Kovac, MD; Boris Bumber, MD; Mario Bilic, MD, Msc; Zdenka Hutinec, MD, Msc; Iva Topic, MD
University Hospital Center Zagreb, Zagreb, Croatia

Arch Otolaryngol Head Neck Surg. 2008;134(10):1116.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 23-year-old white woman presented with a 2-month history of a pyoderma gangrenosum–like ulcer in the right postauricular region. The cutaneous lesion had initially started as a pustule that was associated with local pain, subfebrile temperature, night sweats, and spontaneous perforation with a whitish discharge 2 weeks after the disease onset. Necrectomy was performed, and antibiotics (clindamycin, amoxicillin and clavulanate potassium [co-amoxiclav], and azithromycin) were administered intravenously in an outpatient clinic, without success.

Two months after the first symptoms appeared, the patient was admitted to our clinic. She had a 4.5-cm-diameter, painful, necrotic area in the right postauricular and subauricular regions. The lesion was covered with granulation tissue and mucous discharge. In the left postauricular region, there was an indurated purple pustule, 2 cm in diameter, that was solid and painful to palpation. . . . [Full Text of this Article]

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Arch Otolaryngol Head Neck Surg. 2008;134(10):1118-1119.
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