Journal of Urgent Care Medicine

Highly Contagious Fungal Infections Emerge in US

Two new, highly contagious fungal infections that cause rashes have been identified in the United States by New York University Langone Health researchers, according to Becker’s. The fungi species Trichophyton mentagrophytes type VII have produced severe skin infections, typically in men who have male sexual partners. Infections are challenging to treat, according to the news item, but they have been responding to treatment with terbinafine. A separate study also found that Trichophyton indotineae infections tend …

Case of a Nonhealing ‘Sunburn’ on a Toddler

Urgent message: Rashes are a common ailment, and their etiology can have overlapping appearances. In a case where rash does not improve with treatment, it is often necessary to reconsider the differential. Sergio Ramoa MD, MS INTRODUCTION It is common for providers to have difficulty diagnosing patients who present with rash due to the diverse appearances, as well as overlapping similarities, of different etiologies. Due to the extensive nature of rashes, this article will focus …

IgA Vasculitis in Children: Beyond the Rash

Urgent message: This is the urgent message about a truly urgent case presentation concerning a pediatric patient in an urgent care center. Diana Sofia Villacis Nunez, MD; Amit Thakral, MD, MBA; and Pareen Shah, MD CASE PRESENTATION A 12-year-old previously healthy female presents with a 5-day history of lower extremity rash and low-grade fever (100.6°F). A month earlier, she had a self-resolving viral upper respiratory infection. The rash is described as mildly pruritic, dark red …

Erythema Infectiosum

Urgent message: Rashes are common in urgent care and taking a careful patient history is important for proper diagnosis of the underlying cause. ICHHA SETHI, MB,BS, JASKARAN S. SETHI, MB,BS, MIKAYLA SPANGLER, Pharm D, BCPS, and SHAILENDRA SAXENA, MD, PhD Introduction Physicians in both primary care and urgent care clinics encounter facial rash quite frequently. Given the high prevalence and variable number of etiologies, it is important to diagnose these patients appropriately so that they …

Identifying and Treating Superficial Fungal Infections in the Urgent Care Setting

Urgent message: Rashes often lead patients to seek relief in the urgent care center. The ability to differentiate among common, superficial fungal infections and to select the most appropriate treatment or refer is an important skill to master. Kosta G. Skandamis, MD and George Skandamis, MD Introduction Superficial fungal infections are among the most common skin conditions seen in the urgent care setting. Dermatophytes are the most common type of fungi that infect and survive …