Medical history 34 years-old male presented to the family health care center with conjunctival erythema, odynophagia, malaise, myalgia and fever of 102.2°F, and was treated empirically at this episode with metamizole (dypirone) and amoxicillin. He reported tick stings that same day. A couple of hours after the first dose of the prescribed medication, the patient exhibited an erythematous/purpuric rash, with confluent plaques and sero-hemorrhagic blisters compromising face, trunk, members, as well as buccal and penile mucosa. Moreover, he was undergoing treatment for hyperuricemia and arterial hypertension with allopurinol and atenolol, respectively. Photograph of the facePhotograph of the left eyePhotograph of the backPhotograph of the thorax and abdomen Question:Based on the clinical history and the photographs provided, which is the most likely diagnosis? Paraneoplastic pemphigus Toxic shock syndrome Stevens-Johnson syndrome Rocky Mountain spotted fever Time is Up! Time's up
