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Question: Can you identify this condition?

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Vol 59: january • janVier 2013

|

Canadian Family PhysicianLe Médecin de famille canadien

51

Answer on page 53

Dermacase

Can you identify this condition?

Safiya Karim Alim Devani

MD FRCPC

Alain Brassard

MD FRCPC

A

n otherwise healthy 57-year-old white woman pre- sents with an erythematous, painful nodule over her left dorsal thumb. This began approximately 2 months ago, after sustaining a paper cut at work. Over the past month, she subsequently developed multiple erythema- tous papules and nodules that tracked up her left fore- arm. She has been treated with 2 courses of cephalexin without any noticeable improvement.

The most likely diagnosis is

1. Mycobacterium marinum infection

2. Leishmania parasite infection

3. Francisella tularensis infection

4. Sporothrix schenckii infection

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Vol 56: july • juillet 2010 Canadian Family Physician • Le Médecin de famille canadien