Clinical Cases

A 64-year-old gentleman presents to the ED with a 12-hour history of malaise and increasing pain, redness and swelling of his left hand. He reports sustaining a small cut to his left palm whilst gardening the day before.

His past medical history was notable only for type 2 diabetes and prostate cancer (well controlled on hormone therapy for a number of years). He takes only Metformin, Aspirin, Simvastatin and 3 monthly hormone injections. He had his flu vaccination 2 weeks prior to the onset of symptoms.