Management & Follow-up
As infective causes were being considered, antibiotic coverage with Ceftriaxone 2 gram and azithromycin 500 milligram once daily were started on admission. It was discontinued on the third day when preliminary blood culture reports came back negative. Steroids (hydrocortisone IV one dose 200-milligram and then transitioned to oral prednisolone 20 milligrams which was given for 4 days) and antihistamines (diphenhydramine 25-milligram injection on need along with oral fexofenadine 180 milligrams which was given daily for 5 days then it was replaced with levocetirizine 5-milligram daily dose) and emollient creams were given throughout the hospital stay for the allergic symptoms. Deep Venous Thrombosis prophylaxis was provided with enoxaparin 40-milligram subcutaneous injection daily. Oral esomeprazole 20-milligram was given for stress ulcer prophylaxis. She was discharged on levocetirizine 5-milligram and esomeprazole 20-milligram once daily for 5 days. She had an apparent improvement of rash after 2 days, with a remaining mild itching and burning sensation. She was discharged home safely on day 6 of hospitalization after all her workup was done, which ruled out other suspected causes of her rashes.