55F, post hypoxic PEA arrest leading to ARDS and ARF requiri | Figure 1

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55F, post hypoxic PEA arrest leading to ARDS and ARF requiring dialysis. Developed whole body rash 1 week prev, thought related to antibiotics which were promptly stopped. Rash persisted and worsened despite abx being discontinued. Now sloughing, beginning to weep. No mucosal lesions. Photos are hand, shoulder, leg.

Case Details

Case Summary

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.

Another Case Summary

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.

Another Case Summary

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.