The patient has a history of coronary artery disease which required surgical intervention with a coronary artery bypass surgery in March 04. She also has a history of hyperlipidemia, myopia, psoriatic arthropathy, and familial spastic paraplegia. She was admitted to the Mount Saint Vincent nursing home for rehabilitation after the cardiac surgery. A week prior to the skin and oral lesions she was treated with Bacterim for a urinary tract infection. She is on the following medications: Lanoxin, Trazodone, Megestrol, Neurontin, Lovastatin, Desinide cream, Fosamax, Metoprolol and, most recently, Bacterim. She is allergic to Tizanidine, Acyclovir, PCN and sulfa drugs.