Spread to the knuckle, mild
cellulitis looking, joint involved, low-grade fevers, poor response to Bactrim. Has four fish tanks, works with cows/pigs in a muddy field, gardens, has 2 cats. Now, four months later still low-grade fevers but worsening, joint nearly resolved, increasing malaise, lethargy, new skin lesions on knees, lower legs oral lesions, nasal lesion. 3 months of clarithryomycin and rifampin with increasing temps, stopped one month ago.