29 y/o F presents with 1cm lesion on left foot. Pt returned | Figure 1

%27%3e%3cg%20id=%27Group-14%27%20transform=%27translate(13.000000,%20103.176124)%27%3e%3cg%20id=%27Group-Copy-5%27%20transform=%27translate(0.000000,%20182.676124)%27%3e%3crect%20id=%27Rectangle-8%27%20fill=%27%23E2E0DE%27%20x=%270%27%20y=%270%27%20width=%2736%27%20height=%2736%27%20rx=%2718%27%3e%3c/rect%3e%3cpath%20d=%27M28,27.6503435%20C28,22.127496%2023.5228474,17.6503435%2018,17.6503435%20C12.4771525,17.6503435%208,22.127496%208,27.6503435%20M18,16.3472505%20C20.8165136,16.3472505%2023.099749,14.0640151%2023.099749,11.2475015%20C23.099749,8.43098783%2020.8165136,6.1477524%2018,6.1477524%20C15.1834863,6.1477524%2012.9002509,8.43098783%2012.9002509,11.2475015%20C12.9002509,14.0640151%2015.1834863,16.3472505%2018,16.3472505%20Z%27%20id=%27Combined-Shape%27%20fill=%27%23FFFFFF%27%20fill-rule=%27nonzero%27%3e%3c/path%3e%3c/g%3e%3c/g%3e%3c/g%3e%3c/g%3e%3c/svg%3e)

Deleted account

Some actions are only available when you log in.
Report case
Report this to our moderators

29 y/o F presents with 1cm lesion on left foot. Pt returned from trip to Thailand two weeks ago. Began as blister on trip, remained open for duration of trip. Walked barefoot on beaches, swam in pools and ocean, walked in mud near elephants, barefoot on streets. Getting worse- more red, pitted, painful and swollen over past two weeks upon returning to US. Negative fever or associated sx. Thoughts on what this could be?

Why you should join Figure 1

Similar cases



A 35-year-old woman presents with a one-week history of a slightly raised erythematous lesion on her inner thigh. She has been experiencing fatigue and joint pain since returning from a camping trip in Maine earlier in the month. She is 33-weeks pregnant and is otherwise well. An enzyme-linked immunosorbent assay (ELISA) test comes back negative for Lyme antibodies. What treatment should be administered? Image credit: @kthmpsn.](https://app.figure1.com/case-detail/033280d8-a1db-4bc8-bbd5-0ee210e0168d)



78 year old man walked into a clinic. Tripped over a rust pipe a week ago, causing laceration on left leg. Self washed wound with soap and water. Prescribed flopen 500mg q.i.d. Night itching began on day 4. Two spots developed on right leg, also with similar itching. Left left is inflammed, warm to touch with observed pitting odema. No foul odour.](https://app.figure1.com/case-detail/1f504162-2688-4911-a447-2e9c64a713d7)



70yo f no significant PMH. Returned from a trip in Ethiopia 3days ago. Denise trauma and does not remember being stung. Since the day of here return this lesion appeared. Started out about a pin head size, in her left popliteal fossa. Area is swollen and erythematous. She had trouble walking. On lab leukocytosis 28K neut 25k left shift, bili 1.3 ,crp 240 INR 1.4 spontaneous. DD atm is bacterial infection (ricktsia), spider bite, trypanosomiasis any other ideas ?](https://app.figure1.com/case-detail/244cde09-74f7-47d9-9a86-cdfe671d5db6)



Any suggestion about what type of insect bite? Patient was hiking in Panama City, FL. Has noticed worsening appearance since returning home to Ohio 1 week ago](https://app.figure1.com/case-detail/4d7edf57-c402-4975-b889-8b79460afd7c)

Trending now



A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis.
He had a history of hypertension, long-term smoking, and a sedentary lifestyle.
On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.](https://app.figure1.com/case-detail/ae0fe999-6875-4474-94f0-ad823dbb9b3a)



A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets.
Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.](https://app.figure1.com/case-detail/c271070f-2bc7-4052-9895-635277e1a7d5)



A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.](https://app.figure1.com/case-detail/48f41642-b9db-4089-b120-a94ee52328de)



patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?](https://app.figure1.com/case-detail/2af390e1-ace8-40ed-ba1c-98fb2d72f4c5)