Cutaneous Coccidioidomycosis

Comments:
Primary cutaneous coccidioidomycosis, caused by direct inoculation, is quite rare and is seen mainly in farmers, laboratory workers, nurses, and morticians. The lesions are firm and chancre-like (shown in this image) with regional lymphadenopathy. Other skin manifestations seen with coccidioidomycosis include toxic erythema, erythema nodosum, and erythema multiforme as a hypersensitivity response.