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Article
October 1943

SEVERE TROPICAL ULCER

Author Affiliations

Bello Horizonte, Brazil Assistant in Clinic of Syphilis and Cutaneous Diseases of the Faculty of Medicine, University of Minas Geraes

Arch Derm Syphilol. 1943;48(4):414-415. doi:10.1001/archderm.1943.01510040058012

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Abstract

The following case of tropical ulcer is reported on account of the unusual extent of the ulcer. Various causes have been mentioned as being contributory to the rapid extension of tropical ulcers, including malaria, helminthiasis, trypanosomiasis and undernourishment. My patient had an infection by Ancylostoma duodenale.

REPORT OF A CASE

G. G. S., a Negro boy aged 16, was born in Minas Geraes. He stated that, following the bite of a mosquito on his leg, a small pustule appeared which later ulcerated and spread to the size observed.

Examination showed a round ulcer on the shin and lateral aspects of the lower third of the left leg. It measured 16 by 15 cm. The borders were raised and sharply demarcated and were surrounded by edematous skin. The ulcer consisted of a putrid magma, composed of necrotic tissue and false membranes and had

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