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Dermacase. Herpes simplex virus.

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2472 Canadian Family Physician • Le Médecin de famille canadien VOL 47: DECEMBER • DÉCEMBRE 2001 VOL 47: DECEMBER • DÉCEMBRE 2001 Canadian Family Physician • Le Médecin de famille canadien 2475

Dr Jassal is a Fellow in Cardiology at Dalhousie University in Halifax, NS. Dr Ross is a resident in the Section of Plastic Surgery in the Department of Surgery, and Dr Aoki and Dr Embil teach in the Section of Infectious Diseases in the Department of Medicine, all at the University of Manitoba in Winnipeg.

Dermacase

Davinder S. Jassal, MD Lonny R. Ross, MD Fred Y. Aoki, MD, FRCPC John M. Embil, MD, FRCPC

Answer on page 2479

CAN YOU IDENTIFY THIS CONDITION?

A 44-year-old woman recently returned from a 1-month holiday in Mexico. She had developed a large, crusted ulcerative lesion with sur- rounding induration, erythema, and painful lymphangitis extending to her right submandibular region. Sensation was diminished over the right V1 and V2 branches of the trigeminal nerve.

The most likely diagnosis is:

1. Leishmaniasis 2. Tropical ulcer 3. Amebiasis

4. Herpes simplex virus

clinical challenge

défi clinique

Références

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