A 42-year-old woman with asthma, seasonal allergies, and invasive ductal breast carcinoma presented to the dermatology clinic for rash and poor wound healing 2 weeks after bilateral mastectomy. Five days after surgery, the patient noted erythema, edema, pain, pruritus, and serous fluid drainage at the mastectomy incision sites (Figure 1). Two days later, she developed an erythematous papulovesicular rash on her trunk and upper and lower extremities. A skin swab was sent for bacterial culture, and she was prescribed cefadroxil (500 mg twice daily for 1 week). The skin swab bacterial culture result was negative, and her skin findings did not improve with antibiotics. The patient reported having a similar episode of rash and delayed wound healing after laparoscopy 1 year prior to presentation.
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CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.
Corresponding Author: Austinn C. Miller, MD, Dermatology Associates of Tallahassee, 1707 Riggins Rd, Tallahassee, FL 32308 (email@example.com).
Published Online: August 29, 2023. doi:10.1001/jama.2023.16367
Conflict of Interest Disclosures: None reported.
Funding/Support: This work was supported in whole or in part by HCA Healthcare and/or an HCA Healthcare-affiliated entity.
Role of the Funder/Sponsor: The authors were independent and unrestricted in the preparation, review, and approval of the manuscript and the decision to submit the manuscript for publication.
Disclaimer: The views expressed in this publication represent those of the authors and do not necessarily represent the official views of HCA Healthcare or any of its affiliated entities.
Additional Contributions: We thank the patient for providing permission to publish this information.
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