It's the story of a 40-year-old recreational athlete who had injured his left knee on a "moon bouncer" at his child's birthday party. Before the injury, he regularly went hiking and downhill skiing and played basketball and tennis. Because the injury caused persistent symptoms of knee instability, he elected to undergo an anterior cruciate ligament (ACL) reconstruction using allograft. At the time of surgery, the patient's skin examination was unremarkable, and no surgical complications were noted. The patient went home on the day of surgery. The patient returned 3 days after surgery, reporting severe itching and the development of a rash on his legs (figure 1). The rash originated distally at both ankles, and then spread proximally toward the knees over the course of 2 days. Examination revealed an erythematous rash with linear streaking and multiple patches of vesicles.
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