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{
    "pk": 41530,
    "title": "51-Year-Old Male with Back Pain, Groin Pain, and a Rash",
    "subtitle": null,
    "abstract": "<p>A 51-year-old male presented to the emergency department with back pain, bilateral groin pain, and bilateral leg numbness for four days. He was hypothermic, tachycardic, tachypneic, and hypotensive on presentation. A diffuse purpuric rash with bullae and desquamation was noted on exam. This case explores the differential diagnosis and evaluation of an ill patient who presented with an impressive rash.</p>",
    "language": "eng",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [],
    "section": "Clinicopathological Cases from the University of Maryland",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/8s38g7nf",
    "frozenauthors": [
        {
            "first_name": "Lorado",
            "middle_name": "",
            "last_name": "Mhonda",
            "name_suffix": "",
            "institution": "University of Maryland Medical Center, Department of Emergency Medicine, Baltimore, Maryland",
            "department": ""
        },
        {
            "first_name": "Bobbi-Jo",
            "middle_name": "",
            "last_name": "Lowie",
            "name_suffix": "",
            "institution": "University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland",
            "department": ""
        },
        {
            "first_name": "Laura",
            "middle_name": "J",
            "last_name": "Bontempo",
            "name_suffix": "",
            "institution": "University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland",
            "department": ""
        },
        {
            "first_name": "T.",
            "middle_name": "Andrew",
            "last_name": "Windsor",
            "name_suffix": "",
            "institution": "University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland",
            "department": ""
        }
    ],
    "date_submitted": "2024-12-24T09:48:51.534000-08:00",
    "date_accepted": "2025-04-10T11:13:48.672000-07:00",
    "date_published": "2025-07-14T21:00:00-07:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "PDF",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/41530/galley/38470/download/"
        }
    ]
}