CASE REPORT
A 27-year-old male who had migrated from Micronesia
12 days previously presented with a 2-day history of
rash, fever, weight loss (25 lbs), night sweats, and
acute pain in his left leg that prevented ambulation. Upon
examination, he was observed to have scattered discrete 5
mm to 15 mm erythematous papules and nodules on the
trunk and extremities (Figure 1), skin-colored nodules on his
earlobes bilaterally, and a 30 mm erythematous and tender
left inguinal lymph node. He had no mucus membrane or
neurologic abnormalities. Laboratory abnormalities included
a leukocytosis and elevated serum lactate.
