Correct!
4. 1 and 3

The patient is clinically presenting with a sepsis syndrome treated with antibiotics and fluids. Ethylene glycol poisoning does not present with "relapses".

On physical examination he had a heart rate of 150 beats/min, a blood pressure of 85/62 mm Hg, a respiratory rate of 28 and a temperature 102.8ºF. He was confused and agitated, he had an exudate coming from his right nares and blood from his left nares. In addition, he developed an erythroderma on his hands and feet (Figure 1).

Figure 1. Photographs of arm and foot showing erythroderma.

Which of the following statements is false? (Click on the correct answer to proceed to the next panel)

1. He likely has a drug reaction and his antibiotics should be stopped
2. He may have lactic acidosis
3. His blood cultures may be negative
4. Nares culture will likely show Staphylococcus aureus
5. Radiography may show sinusitis

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