Localized Burning Pain On in Medicine / Internal Medicine — 34yo Man | Dermatology | SMLE Q#18965
SMLE Question #18965
Medicine / Internal Medicine
Dermatology
Last updated: March 2026
A 34-year-old man presents 18 hours after an insect bite with localized burning pain on the right thigh. Examination shows an 8 × 6 cm well-demarcated erythematous, warm, tender plaque with a small central punctum. There is no fluctuance, purulent drainage, crepitus, or lymphangitic streaking. He is otherwise well-appearing. What is the most appropriate next step in management?
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