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A 45-Year-Old Man with Bullae and Vesicles 

A 45-Year-Old Man with Bullae and Vesicles
A 45-Year-Old Man with Bullae and Vesicles

Daniel Caplivski

and W. Michael Scheld

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date: 19 September 2021

Case 14f: A 45-year-old male with a history of obesity and hypertension had a motor vehicle accident requiring open reduction/internal fixation of the left forearm. He subsequently developed osteomyelitis and septic arthritis of the left elbow, in the setting of methicillin-resistant Staphylococcus aureus (MRSA) bacteremia. The patient underwent surgical irrigation and debridement with complete removal of the internal fi xation device, and was treated with vancomycin 15 mg/kg IV every 12 hours. He was on day 16 of home intravenous therapy when he developed a pruritic vesiculobullous eruption, mostly involving his chest and upper arms, and painless mouth ulcers

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