Dermclinic

Case 1:
This acute pruritic eruption developed on a 49-year-old woman’s thigh after she had been doing yard work. She promptly sought medical attention at the emergency department. Because cellulitis was suspected, she was given ceftriaxone and an oral cephalosporin was prescribed. However, the eruption has remained unchanged for the past 48 hours. The patient is otherwise healthy. Pending culture results are negative so far.

What is the most appropriate course of action?

A. Continue the cephalosporin.
B. Add rifampin.
C. Switch to levofloxacin.
D. Switch to fluconazole.
E. Add prednisone.
F. Perform a skin biopsy.

(answer on next page)