Question special

A 60-year-old man presents to the emergency department with fever, rhinorrhea, malaise, and the rash pictured above. He reports that these symptoms started about 2 days ago, the rash does not feel itchy, but rather he feels a burning sensation. On review of systems, the patient also states that his eyes feel gritty and he has noticed burning with urination. He has a history of hypertension and hyperlipidemia for which he takes lisinopril and atorvastatin and a history of gout for which he started a new medication about 2 weeks ago. He also occasionally takes a baby aspirin but no other medications or supplements. He works as a financial analyst and recently returned from a trip to Cancun with his family.

What is the diagnosis?
A) Vibrio vulnificus infection
B) Pemphigus vulgaris
C) Stevens-Johnson syndrome / Toxic epidermal necrosis
D) Drug hypersensitivity syndrome
E) Purpura fulminans

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