A 21-year-old woman comes to the university health clinic ...

He is brought to the emergency department by the county corrections officer because of high fevers, swelling of the left thigh, and severe pain at the puncture wound site. His temperature is 38.3 C (101.0 F), blood pressure is 90/50 mmHg, pulse is 120/min, and respirations are 25/min. Although he is awake, he appears lethargic. ................
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