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A 58 year-old woman with a slowly progressive skin lesion on her left leg. She otherwise felt well and reported no systemic symptoms (including no fevers or night sweats). She is an avid gardner, but other than kneeling during garden work, could recall no specific local trauma at the site.
Submitted by Robert Kazragis, MD, COL, MC, Infectious Disease Service, Dwight David Eisenhower Army Medical Center, Fort Gordon, GA. (Photo courtesy of Dr. Thomas Hirota, Chief, Dermatology Service, Moncrief Army Community Hospital, Fort Jackson, SC.)
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