19 yo M with scrotal ulcers, inguinal and axillary lymphaden | Figure 1

ACF_HLV

Internal Medicine

19 yo M with scrotal ulcers, inguinal and axillary lymphadenopathies, hepatosplenomegaly, mediastinic mass seen on CT scan. Presented with fever before being admitted. CBC reports 17.3% of eosinophils, axillary node biopsy reports eosinophilic cellulitis. A diagnosis of Wells Syndrome is suspected. The patient was found to have Lice infestation, he states to be in close contact with farm animals, dogs and cats. What are your thoughts?

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