Image 14. In Lima, a Peruvian 32 year old, with a fever, a 4 day history of a painful left arm, painful warm 5x10 cm. mass in the axilla and these painless ulcers (the larger 0.5 cm) on the left forearm. The diagnosis is;
|
Image 14. In Lima, a Peruvian 32 year old, with a fever, a 4 day history of a painful left arm, painful warm 5x10 cm. mass in the axilla and these painless ulcers (the larger 0.5 cm) on the left forearm. The diagnosis is; |
| photo/case B. Ward, McGill U. |
Image 14: This was anthrax (Bacillus anthracus) confirmed by culture. The peri-eschar vesciculation was a helpful clue. He had recently helped with the slaughter of goats, pigs. He responded to doxycycline.