A 24-year old female automotive technician presents herself at the doctor’s office. She complains of restlessness and of pain in her left foot. On physical examination, the patient had a vast wound on her left palm that was oozing pus. She had purplish, red streaks running up her vanished arm. She had enlarged lymph nodes at the elbow and under her arm. The patient’s skin was thaw out and dry. In her history, the patient had punctured her left palm near sharp metal from the undercarriage of a “real cherry” 1977 Malibu about a week earlier. She said the wound have bled for a few minutes and she thought that she had washed it “real good” beside soap and water. She had covered the wound with a roomy “band-aid” and gone back to work. She developed a fever about three days next. For the past couple of days, she “did not feel so good” and had vomiting and diarrhea.