A 62-year-old man with diabetes returns to the emergency department 3 days after undergoing incision and drainage of a perirectal abscess. The patient complains of fever and malaise. Evaluation of the perirectal area reveals an open draining wound with a 20-cm area of surrounding induration and erythema, with some localized blistering of the skin. The infection appears to have extended to involve his entire perineum, scrotum, and the anterior abdomen.
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