A 55-year-old man from rural Cambodia presents with acute onset of fever, myalgia, and a skin lesion that started as a painless papule and progressed ...

Question

A 55-year-old man from rural Cambodia presents with acute onset of fever, myalgia, and a skin lesion that started as a painless papule and progressed to a large necrotic ulcer with a black eschar. He is a rice farmer. Blood cultures grow a Gram-negative bacillus. What is the most likely diagnosis?

Accepted Answer

Melioidosis with cutaneous involvement

Answer

Cutaneous anthrax

Answer

Scrub typhus

Answer

Ecthyma gangrenosum

Answer

Brown recluse spider bite

uk-dtmh MCQ (SBA): Cutaneous Melioidosis

A 55-year-old man from rural Cambodia presents with acute onset of fever, myalgia, and a skin lesion that started as a painless papule and progressed to a large necrotic ulcer with a black eschar. He is a rice farmer. Blood cultures grow a Gram-negative bacillus. What is the most likely diagnosis?