{"pk":496,"title":"Exaggerated Arthropod Bite: A Case Report and Review of the Mimics","subtitle":null,"abstract":"Exaggerated arthropod bite reactions causing hemorrhagic or necrotic bullous lesions can mimic other serious conditions such as cutaneous anthrax, brown recluse spider bite, and tularemia. A 55- year-old, healthy woman presented to the emergency department with a 3.5-centimeter painless, collapsed hemorrhagic bulla at the left costal margin. She was afebrile and had no systemic symptoms. Laboratory evaluation was unremarkable. She was prescribed silver sulfadiazine cream and mupirocin ointment. The area denuded two days later and the lesion completely healed. This case illustrates the broad differential to be considered when evaluating patients with hemorrhagic bullous lesions.","language":"en","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":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/00q5k13z","frozenauthors":[{"first_name":"Sagah","middle_name":"","last_name":"Ahmed","name_suffix":"","institution":"George Washington University School of Medicine and Health Sciences, Washington,\nDistrict of Columbia","department":"None"},{"first_name":"Elaine","middle_name":"","last_name":"Bromberek","name_suffix":"","institution":"MedStar Georgetown University Hospital, Department of Emergency Medicine, Washington, District of Columbia","department":"None"},{"first_name":"Joelle","middle_name":"","last_name":"Borhart","name_suffix":"","institution":"MedStar Georgetown University Hospital, Department of Emergency Medicine,\nWashington, District of Columbia","department":"None"}],"date_submitted":"2018-01-05T18:08:18Z","date_accepted":"2018-01-05T18:08:18Z","date_published":"2018-01-11T17:42:42Z","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/496/galley/260/download/"}]}