A 65 year old African-American lady presents with fever, bilateral red eyes, ulcers of the lips and mouth, and a widespread erythematous rash for 2 days, which has rapidly expanded over time. Close questioning reveals that she started self-medicating herself with Ibuprofen around 2 weeks ago, due to pain in her right knee joint while walking. Her medical history is otherwise unremarkable. She has had a single stable sexual partner for the last 5 years. There is no history of recent foreign travel.
WBC/DC: 5,000/mm3 (4,600 - 11,000) Hb: 12.6 g/dL (11.5 - 18.5) Hct (PCV): 34% Platelets: 250,000/mm3 (150,000-400,000)
Culture results will be available in 3 days.
The skin biopsy results will be available tomorrow.
Random Blood Glucose, Blood Urea, Serum Bicarbonate: Within normal limits