Case #214 – October, 2007

An 18-year-old woman sought medical attention due to a painful lesion between her toes. She reported travel to Africa. The lesion was excised and sent to CDC for closer examination and identification. The tissue was noted to be fibrous and was carefully dissected to examine what was inside. Figure A shows what was revealed within the tissue; the image was taken with a hand-held digital camera mounted to a dissecting microscope. What is your diagnosis? Based on what criteria?

Image A

Images presented in the DPDx case studies are from specimens submitted for diagnosis or archiving. On rare occasions, clinical histories given may be partly fictitious.

DPDx is an educational resource designed for health professionals and laboratory scientists. For an overview including prevention, control, and treatment visit