Presentation

1 day worsening hypoxia, throat pain and fevers, in context of unprovoked DVT and bilateral PEs 2 weeks ago, for which rivaroxaban was started 10 days ago. On exam, hypoxic sats 90% on 100% O2, with severe dysphonia, soft stridor and trismus. Exam of upper airway: mildly tender neck, diffusely erythematous and edematous palate and uvula, and limited view beyond. Decreased rt basal air entry but otherwise clear. Violaceous plaque-like rash with desquamation on his arms, thighs, back and buttocks, developed after his rivaroxaban started.

Patient Data

Age: 75 years
Gender: Male
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