Skin ulcers in travelers

	Comments
Bacteria
Anthrax	Hemorrhagic ulcer with surrounding edema; eschar
Chancroid	Painful genital ulcer; single or multiple
Diphtheria	Shallow ulcer
Granuloma inguinale	Painless genital ulcer
Leprosy	Neuropathic ulcers
Lymphogranuloma venereum	Late ulceration
Melioidosis	Necrotic ulcer with local cellulitis
Mycetoma	Ulcers with sinus tracts
Mycobacteria
M. marinum	Nodules may ulcerate
M. tuberculosis	Nodule ulcerates at site of primary inoculation
M. ulcerans	Deep ulcer with undermined edges (Buruli)
Plague	Breakdown of bubo
Pyoderma	Crusted ulcer associated with staphylococci and streptococci
Rickettsial infections	Eschar at inoculation site for some rickettsiae; may be multiple
Syphilis	Painless ulcer with indurated edge
Tropical ulcer	Painful ulcer, necrotic
Tularemia	Ulceroglandular; ulcer at site of inoculation
Yaws	Papule ulcerates
Protozoa
Amebiasis	Rapidly growing, painful necrotic ulcers
Leishmaniasis	Painless, rolled edge; chronic; single or multiple
Other
Brown recluse spider bite	Painful, edema, erythema; necrotic eschar

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