Sand fly bit this child a few days ago. what do you think it | Figure 1

Sand fly bit this child a few days ago. what do you think it is?

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52 y/o female present with large hard bump with open punctum on inner thigh next to private area. Patient stated after shaving and hiking days after, a bump had arise and became sore. Drained a mixture of blood and pus from area. CNS obtained. Awaiting results, put patient on Clindamycin for 5 days.](https://app.figure1.com/case-detail/000e36bd-6c23-4fe9-8c3f-09bbff927e97)

4 y/o m presents with actively draining abscess x2days. Mom says it started as a small pimple and quickly got worse, brought him in when he couldn't bear weight on the leg anymore. Cultures out, antibiotics started, will return in 2dys for an I&D #pediatrics #MRSA-(methicillin-resistant-Staphylococcus-aureus)](https://app.figure1.com/case-detail/72747746-5c8c-45ef-9c16-021b99c30d07)

27 yo white female with a 2 day history of non-pruritic red bumps appearing on left hand with subsequent bumps appearing proximally on arm](https://app.figure1.com/case-detail/72801d5c-6997-44ba-804b-5ae6157373cb)

8yo male in Texas with pruritic rash as above. Two days duration. No pets. No constitutional symptoms.](https://app.figure1.com/case-detail/73cf9985-998c-456d-ae35-6ceba7873689)

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A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis.
He had a history of hypertension, long-term smoking, and a sedentary lifestyle.
On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.](https://app.figure1.com/case-detail/ae0fe999-6875-4474-94f0-ad823dbb9b3a)

A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets.
Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.](https://app.figure1.com/case-detail/c271070f-2bc7-4052-9895-635277e1a7d5)

A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.](https://app.figure1.com/case-detail/48f41642-b9db-4089-b120-a94ee52328de)

patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?](https://app.figure1.com/case-detail/2af390e1-ace8-40ed-ba1c-98fb2d72f4c5)