Recurring Bilateral Rash Concomitant With Upper Respiratory Tract Infection in a Healthy Adult Male

Conclusion

This patient’s initial field presentation at age 39 was clinically explained and documented in the official medical record as routine URTI. The diagnosis was based on clinical picture, occurrence during fall season, and close quarters/field living conditions. A definitive diagnosis of the recurring rash was never documented in the patient’s military medical records.

Differing somewhat from a typical case report, the purpose of this presentation was to offer “field medicine” points and systematic considerations when faced with the presentation of a seemingly common ailment, not to provide readers with a definitive diagnosis. These considerations along with the need for follow-up health maintenance strategies are especially highlighted by the unique situations presented by reservists. In addition, this case demonstrates the validity of the often forgotten history and physical question of “Has this ever happened before?” These are at least issues that should be considered before signing the disposition as “URTI, OTC meds PRN, quarters for 24 hours, then return to duty.”