Clinical History and Clinical Examination:
A 60 year- old male, a known case of hypertension, hemorrhoids that were
operated on accordingly, diabetes mellitus, hepatitis C (treated), and
recurring cellulitis due to multiple IV and IM injections (specifically
Tramadol and Multivitamins) for his constant complaints of bilateral
knee pain presented to the ER department of a tertiary care hospital
with the presenting complaints of drowsiness and a moderately defined
swelling of his left anterior chest wall for 1 month that was warm,
painful and erythematous, hard and stony in consistency, gradually
increasing in size along with purulent discharge of small volume. On
clinical examination, he had pallor, distended abdomen, umbilical
hernia, and decreased left-sided airway entry on chest auscultation.