Case presentation A 34-year-old female presented to the emergency department with a painful rash on her left foot. The rash first appeared one week prior and rapidly progressed, involving the hallux and second digit, accompanied by erythema and blistering. Physical examination revealed a serpiginous track-like lesion on the affected foot (see cover image). Initial treatment by her primary care physician included valacyclovir, amoxicillin, topical mupirocin, and methylprednisolone.
Despite this, the rash continued to worsen. Medical history No significant past medical history No associated systemic symptoms such as fever, diarrhea, cough, or myalgia Rash onset followed her return from a trip to Barbados nearly one month earlier She recalled walking barefoot on the sand during the trip and experiencing a sudden sharp sensation under her left foot. Reference : Cureus ##Disclaimer## The…
