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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 …
Contributors SMP and JL were involved in the management of the patient supervised by SG. SMP and JL performed the literature search and wrote the paper. All authors were involved with editing the manuscript.
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.