A Sea Sickness? Ecthyma Gangrenosum

      A beach vacation in North Carolina was followed swiftly by a trip to the hospital. The patient, a 65-year-old woman who had spent a significant amount of time in the ocean, presented after several days of worsening fever, rash, and altered mental status. These symptoms began immediately after her stay at the seashore. She was being treated for recurrent endometrial carcinoma, stage IIIC1. Three weeks earlier, she had undergone her sixth cycle of docetaxel and carboplatin infusions and was at the time of presentation taking dexamethasone, 4 mg by mouth, twice daily.
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