Case 22-2024: A 30-Year-Old Woman with Postpartum Fever, Abdominal Pain, and Skin Ulcers

Merola, Joseph F. M.D., M.M.Sc.
Cochran, Rory L. M.D., Ph.D.
Kroshinsky, Daniela M.D., M.P.H.
Prabhu, Malavika M.D.
Kwan, Melanie C. M.D.

From the Departments of Medicine and Dermatology, UT Southwestern Medical Center, and Peter O'Donnell School of Public Health — both in Dallas (J.F.M.); the Departments of Radiology (R.L.C.), Dermatology (D.K.), Pediatrics (D.K.), Obstetrics, Gynecology, and Reproductive Biology (M.P.), and Pathology (M.C.K.), Massachusetts General Hospital, and the Departments of Radiology (R.L.C.), Obstetrics, Gynecology, and Reproductive Biology (M.P.), and Pathology (M.C.K.), Harvard Medical School — both in Boston; and the Department of Dermatology, Duke University Medical Center, and Duke University School of Medicine — both in Durham, NC (D.K.).

This case was presented at Medicine Grand Rounds.

Disclosure forms provided by the authors are available with the full text of this article at NEJM.org.

New England Journal of Medicine 391(3):p 260-271, July 18, 2024. | DOI: 10.1056/NEJMcpc2309500

A Woman with Postpartum Fever, Abdominal Pain, and Skin Ulcers

A 30-year-old woman was admitted 6 days after the birth of her first child because of fever and abdominal pain. New skin ulcers were noted. A diagnosis was made.