Board Review: Attack of the Bugs
60-year-old female presents to the emergency department with fevers, chills, and decreased appetite. Patient also complaining of L leg pain that she noted 1-day prior. Patient with history of diabetes, breast cancer- currently getting chemotherapy, and hypertension. Vitals as follows: T: 100.3 (O), HR: 123, RR: 18, SpO2: 98% on RA. On physical exam, you notice a scab on the dorsum of the foot with surrounding erythema with bullae at the edge of the wound that patient did not have prior to coming to the hospital.