Step II question...diff between nec fasc and eryse

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scurred

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.A woman 4-day history of fever. swelling and redness of her left leg, history of chronic lymphedema, ..temperature is 38.5°C (101.3°F).
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.lower extremity is diffusely red and edematous from just below the knee to the ankle, with a sharp demarcation separating the erythematous area from the normal skin at the knee. The erythematous area is painful and hyperesthetic to touch. The left femoral nodes are enlarged and painful. Which of the following is the most likely cause of this patient's illness?.
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.A.
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.Deep venous thrombosis .
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.B.
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.Escherichia coli.. infection .
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.C.
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.Group A streptococcus infection .
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.D.
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.Necrotizing fasciitis .
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.E.
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.Superficial thrombophlebitis.