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A 13-year-old boy presented to A&E with an erythematous rash on his lower legs, arms and torso after swimming in a local river the previous day. On initial examination, he appeared well and afebrile with several irregularly shaped erythematous lesions that were tender and warm to touch (figure 1A,B). Inflammatory and infection markers were normal but intravenous flucloxacillin was commenced for …
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