TY - BOOK AU - Borhart, Joelle AU - Bromberek, Elaine TI - Exaggerated Arthropod Bite: A Case Report and Review of the Mimics SN - 2474-252X PY - 2018/// KW - IN PROCESS -- NOT YET INDEXED KW - MedStar Washington Hospital Center KW - Emergency Medicine KW - Journal Article N2 - 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 UR - https://dx.doi.org/10.5811/cpcem.2017.12.37034 ER -