What’s the Diagnosis? – December 12, 2016

 

An elderly woman is rushed to the ED with tachycardia, shortness of breath and an altered mental state. A quick glance at her bracelet indicates she has Type 1 diabetes. She had recently been briefly hospitalized following a car accident. Her arm is in a lot of pain and you notice a tense vesicle there.

Is it acute meningococcemia, necrotizing fasciitis, toxic shock syndrome, or bacterial sepsis?

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