A 5-year-old girl develops nonhealing, ulcerative skin lesions on her legs after a trip to Sierra Leone. Explore the Differential Diagnosis.
A 5-year-old, fully vaccinated girl was brought to the emergency department with pruritic lesions on both legs. She had recently returned from a trip to Sierra Leone. The lesions had appeared 3 weeks into her stay there and had increased in size and ulcerated. On presentation, she was afebrile, and an area over the medial aspect of the left lower leg was ulcerated and bleeding. The C-reactive protein level was mildly elevated, and the white-cell count was normal. What is the diagnosis?
What is the most likely diagnosis?
Cutaneous diphtheria, Dermatology, Infectious Disease, Pediatrics, Travel Medicine
