Snapshot A 35-year-old woman presents to the emergency room for an ulcer on her arm. She reports that she recently completed a travel program in Africa, where she worked on the farms in exchange for room and board. She reports coming into contact with farm animals every day. She said she accidentally cut her left forearm on some wooden post a few days ago. Yesterday, she noticed a painless but pruritic lesion. On physical exam, there is a 4-mm papule with a dusky-looking central vesicle and surrounding edema. There is also axillary lymphadenopathy. She is started on antibiotics. Introduction Classification login to view 8 more bullets Epidemiology login to view 7 more bullets Pathogenesis login to view 10 more bullets Associated conditions login to view 5 more bullets Prevention login to view 4 more bullets Prognosis login to view 4 more bullets Presentation Symptoms login to view 9 more bullets Physical exam login to view 11 more bullets Imaging Chest radiography login to view 6 more bullets Studies Labs login to view 9 more bullets Making the diagnosis login to view 3 more bullets Differential Community-acquired pneumonia login to view 2 more bullets Treatment Management approach login to view 3 more bullets Medical login to view 19 more bullets Complications Bacteremia from cutaneous anthrax Death