Microbiology
Fungus. It cannot be grown.
Epidemiologic Risks
South America and Central America. Loggers, farmers, miners, fishermen, and people living near coastal rivers.
And bottle-nosed dolphins.
Syndromes
Lobomycosis: "papules; nodules; and wart-like, ulcerated, and keloid-like lesions located on exposed and cooler areas of the body, particularly the lower limbs and ears. Lesions might be single or multiple and are classified in localized or disseminated forms according to their distribution (PubMed)."
Mistaken as Leishmaniasis.
Treatment
Surgical excision, itraconazole with clofazimine and dapsone.
Notes
Not known to be spread by the Main Man (DC).
Last Update: 04/11/19.