Monday, November 3, 2014

Also Infects Dolphins

You volunteer with a medical mission to see outpatients in a clinic in Brazil (or Colombia, Suriname, Venezuela, Guyana, French Guiana, Ecuador, Peru, Bolivia, Costa Rica, or Mexico). You get a rash (pun not intended) of forest workers, farmers, hunters, and fishermen between 40 and 70 with the following findings:



The histology is shown below:
Challenge: What's your diagnosis?

First three images shown under Fair Use. Fourth image is in the public domain.

1 comment:

Craig Chen said...

Also Infects Dolphins

This is lobomycosis, a chronic fungal infection of the skin and subcutaneous tissue due to Lacazia loboi, a dimorphic fungus found in tropical climates in Latin America.

Sources: UpToDate; Wikipedia.