90. A Gardener with a Non-Healing Rash

  1. Christopher P. Holstege MD3,4,5,
  2. Alexander B. Baer MD3,6,
  3. Jesse M. Pines MD, MBA, MSCE7,8 and
  4. William J. Brady MD9,10,11
  1. Roger A. Band MD1 and
  2. Steve Larson MD2

Published Online: 3 AUG 2011

DOI: 10.1002/9781444397994.ch90

Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition

Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition

How to Cite

Band, R. A. and Larson, S. (2011) A Gardener with a Non-Healing Rash, in Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition (eds C. P. Holstege, A. B. Baer, J. M. Pines and W. J. Brady), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444397994.ch90

Editor Information

  1. 3

    Division of Medical Toxicology, University of Virginia School of Medicine, Charlottesville, VA, USA

  2. 4

    Blue Ridge Poison Center, University of Virginia School of Medicine, Charlottesville, VA, USA

  3. 5

    Departments of Emergency Medicine & Pediatrics, University of Virginia School of Medicine, Charlottesville, VA, USA

  4. 6

    Department of Emergency Medicine, University of Virginia School of Medicine, Charlottesville, VA, USA

  5. 7

    Center for Health Care Quality, George Washington University, Washington, DC, USA

  6. 8

    Departments of Emergency Medicine and Health Policy, George Washington University, Washington, DC, USA

  7. 9

    Department of Emergency Medicine, University of Virginia, Charlottesville, VA, USA

  8. 10

    Center for Emergency Management, University of Virginia Health System, Charlottesville, VA, USA

  9. 11

    Charlottesville-Albemarle Rescue Squad & Albemarle County, Fire Rescue, Charlottesville, VA, USA

Author Information

  1. 1

    Hospital of the University of Pennsylvania, Philadelphia, PA, USA

  2. 2

    Department of Emergency Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA, USA

Publication History

  1. Published Online: 3 AUG 2011
  2. Published Print: 12 AUG 2011

ISBN Information

Print ISBN: 9781444333473

Online ISBN: 9781444397994

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Keywords:

  • Case 90, a gardener - with a non-healing rash;
  • 46-year-old gardener, presenting - to a remote clinic, in a Guatemalan village;
  • complaints of nodular, erythematous lesions - on right upper extremity;
  • initial lesion on distal arm, ulcerated - other lesions, draining nonpurulent material;
  • patient, denying nausea, vomiting, fevers - weight loss or diarrhea;
  • examination, appearing well - impressive lesions, on right upper extremity;
  • most likely cause for lesions