Man Doing Yard Work Comes Down with Fever, Chills, Painful Leg Lesion – Let’s Diagnose

A 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 infectionHerpes zosterErysipelas?

Check out the differential we created in VisualDx.

The correct answer is…

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