Axillary hyperhidrosis: failure of subcutaneous curettage.

Abstract

The result of the Paul-Bunnell test was negative, as were tests on sputum and urine and the cerebrospinal fluid.Blood culture grew no organisms, the chest x-ray film was normal, while the throat swab grew 3-haemolytic streptococci group F. Two days later his conditon deteriorated, with temperature 41°C, tachycardia 130 beats/min, and triple rhythm.Electrocardiogram showed S-T elevation in anterior chest leads.Haemoglobin 9-9 g/dl; leuco- cytes 30 x109/l (3000/mm3), neutrophils 42°, lymphocytes 39 %, mono- cytes 190'; platelets 47 x 109/1; ESR 110 in 1 h; aspartate aminotransferase 208 IU (normal 0-40 IU), creatine phosphokinase 67 IU (normal 0-50 IU), lactate dehydrogenase 2320 IU (normal 200-560 IU), and gamma- glutamyltranspeptidase 46 IU (normal 0-45 IU).Tests for Epstein-Barr (EB) virus and cytomegalovirus antibodies were negative.A bone marrow film 2