25 yo female with 3rd day of this red area. Minimally tender | Figure 1

DrMo-UC

Family Medicine

25 yo female with 3rd day of this red area. Minimally tender and red streak as noted. No fevers. Feels well. No recall of any insect bite. Treated by another provider with sulfa antibiotics. Nausea with the antibiotic. Do you think it needs antibiotics at all?

Cases

80yo F admitted for fever and malaise. She had cellulitis of the right leg (1st pic). Broad spectrum antibiotics started. Blood culture grew Streptococcus pyogenes. Antibiotics switched to Ceftriaxone and Linezolid. No endocarditis on TEE and blood culture cleared within 24-48hrs. Cellulitis clearing after 2 days (2nd pic). On the 6th day, while she is still on antibiotics, she developed a painful rash on the medial side of the same right leg (3rd pic). The new rash is warm, red, and tender to the touch. What is the most likely diagnosis?

Spreading, non-itchy, rash. Non-responsive to steroidal and antibiotic creams. Developed over a three week period. Ill defined pink-red plaques. No obvious vesicles or blisters.

started as a "red itchy bump with a white spot" patient covered with triple antibiotic ointment and bandaid. Took bandaid off and this is current appearance. Not familiar with Dermatoloy/Feet issues... help!

this is a follow up case. 60yo woman. 2days ago started oral treatment with fenoxymethylPC. CRP at start >200. Today CRP at 120. Fever going down but not the redness and swelling. Swelling expanding upwards to lower leg. Also development of more red blisters and redness up along the leg. We took more blood samples and saw elevated liver values (gt, alat, albumin elevated). Crea, sodium, glucose, hb, wbc normal. As it is friday and we close during weekend we sent her to ER with question about treatment with IV antibiotics. No suspicion of necrotizing fascitis. But we might want to cover both strep and staph for IV antibiotics. No sharp red infection zone that you usually see in erysipelas. What do you think? #Cellulitis or #Erysipelas?

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.

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.

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.

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?