A dangerous infection

A patient presents with a life-threatening condition.

Demetre is a 54-year-old male presenting with fever, chills and rigors consistent with sepsis.


He describes scrotal pain and superficial local discharge from a 10-day history of an infected painful scrotal cyst.

He was started on cephalexin and metronidazole three days ago, and denies urinary symptoms.

He has a history of intermittent hidradenitis suppurativa. Two months ago, he was admitted for incision and drainage of multiple buttock and perineal abscesses. He has poorly controlled type 2 diabetes, requiring insulin, and hypertension. He is a 35