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Is this painful swelling a spider bite?

Is this painful swelling a spider bite?

For 5 days, a 68-year-old woman has been bothered by a painful swelling on her left cheek. There is no history of trauma or bite. She takes a diuretic for mild hypertension. Amoxicillin/clavulanate was started 2 days earlier pending the results of a bacterial culture.

What is the likely diagnosis?

A. Brown recluse spider bite.

B. Herpes zoster.

C. Herpes simplex.

D. Sarcoidosis.

E. Erysipelas.

(Answer on next page)

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