1. Fever, weakness, and unusual ecchymotic lesions A 22-year-old Filipino man with fever, lethargy, weakness, and malaise of 5 days’ duration was brought to the emergency department by his family. Two days earlier, oral penicillin had been prescribed for streptococcal pharyngitis. The patient was unable to walk because of profound weakness. Circular and linear ecchymotic lesions were noted on his back.
What could account for these lesions? Are they related to the patient’s other symptoms?
2. Small pink lesion on the nose A 35-year-old man feared that the small pink lesion that spontaneously appeared on the edge of one nostril was cancer. The polypoid, superficial, ulcerated nodule first appeared 3 weeks earlier.
Does this look like a malignant lesion?