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Chronic Foot Infection in a Mexican Immigrant—Quiz Case

Chronic Foot Infection in a Mexican Immigrant—Quiz Case Report of a case A 20-year-old Hispanic male prisoner presented with a chronic foot infection. Six years earlier, he had been in a flood during a hurricane in Oaxaca, Mexico. Soon afterward, he experienced pain in his left foot but denied injury. Within 2 years, a sinus tract developed on the plantar surface of his left foot. Three years later, nodules, swelling, and further sinus tract formation also occurred. The patient was incarcerated in the United States during the following year and was referred by the prison to our clinic. On physical examination, he was noted to be in obvious pain, limping, and wearing an unlaced shoe. His left foot was edematous and tender. The dorsal, medial, and plantar surfaces of his left foot showed inflammatory and purulent nodules with sinus tract formation and scarring. A yellow granular crust was present focally (Figure 1 and Figure 2). There was no associated joint deformity or lymphadenopathy. A biopsy specimen was obtained from the sinus tract on the medial surface of the left foot (Figure 3). Figure 1. View LargeDownload Figure 2. View LargeDownload Figure 3. View LargeDownload What is your diagnosis? http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

Chronic Foot Infection in a Mexican Immigrant—Quiz Case

Chronic Foot Infection in a Mexican Immigrant—Quiz Case

Abstract

Report of a case A 20-year-old Hispanic male prisoner presented with a chronic foot infection. Six years earlier, he had been in a flood during a hurricane in Oaxaca, Mexico. Soon afterward, he experienced pain in his left foot but denied injury. Within 2 years, a sinus tract developed on the plantar surface of his left foot. Three years later, nodules, swelling, and further sinus tract formation also occurred. The patient was incarcerated in the United States during the following year and...
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Publisher
American Medical Association
Copyright
Copyright © 2006 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.142.1.101-a
Publisher site
See Article on Publisher Site

Abstract

Report of a case A 20-year-old Hispanic male prisoner presented with a chronic foot infection. Six years earlier, he had been in a flood during a hurricane in Oaxaca, Mexico. Soon afterward, he experienced pain in his left foot but denied injury. Within 2 years, a sinus tract developed on the plantar surface of his left foot. Three years later, nodules, swelling, and further sinus tract formation also occurred. The patient was incarcerated in the United States during the following year and was referred by the prison to our clinic. On physical examination, he was noted to be in obvious pain, limping, and wearing an unlaced shoe. His left foot was edematous and tender. The dorsal, medial, and plantar surfaces of his left foot showed inflammatory and purulent nodules with sinus tract formation and scarring. A yellow granular crust was present focally (Figure 1 and Figure 2). There was no associated joint deformity or lymphadenopathy. A biopsy specimen was obtained from the sinus tract on the medial surface of the left foot (Figure 3). Figure 1. View LargeDownload Figure 2. View LargeDownload Figure 3. View LargeDownload What is your diagnosis?

Journal

Archives of DermatologyAmerican Medical Association

Published: Jan 1, 2006

Keywords: foot infections,immigrants

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