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Diabetic Man with Painful Leg Lesion - Let's Diagnose

feb22quiz.jpgA 45-year-old man came into the emergency room complaining of a painful skin lesion with bullae on his leg. After spending the previous day doing yard work, he had come down with a fever, chills, and nausea. He checked his blood sugar to make sure his type 1 diabetes was not the reason he was feeling ill. Then he noticed the area around a tiny cut on his leg had turned red and felt like it was burning.

Could it be cellulitis? A Vibrio vulnificus infection? Herpes zoster? Erysipelas?

Check out the differential we created in VisualDx for this case.

The correct answer is...

About VisualDx

VisualDx is an award-winning diagnostic clinical decision support system that has become the standard electronic resource at more than half of U.S. medical schools and more than 1,500 hospitals and institutions nationwide.  VisualDx combines clinical search with the world's best medical image library, plus medical knowledge from experts to help with diagnosis, treatment, self-education, and patient communication. Expanding to provide diagnostic decision support across General Medicine, the new VisualDx brings increased speed and accuracy to the art of diagnosis. Learn more at