October 2008








History: 83 year old Caucasian female presented with one year of persistent induration, pruritis and drainage in the perianal area. (Figure 1)


PMH: Distant history of Crohn’s disease


Labs: bacterial culture and gram stain: mixed microorganisms; WBC: 10K, Hgb 10.1g/dl; Hct 30.0%; plts 335


Click here for the diagnosis