On the nose

BMJ 2008; 336 doi: 10.1136/bmj.39555.649838.AD (Published 29 May 2008)
Cite this as: BMJ 2008;336:1240

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  1. Rose McGready, research physician
  1. 1Shoklo Malaria Research Unit, Mae Sot, Thailand
  1. rose{at}shoklo-unit.com

    While on holiday in France from my work in Thailand, I thought I had a left upper molar infection. I wished I’d stocked up on some antibiotics (far too easy to purchase in resource poor settings, where they can least afford problems with drug resistance). The next day I diagnosed left maxillary sinusitis. The following day the supposed sinusitis was now on the left side of my nose as a 1.5 cm, red, slightly raised, circular lesion.

    In Thailand superficial migrating skin lesions are caused by helminths. The commonest is cutaneous larva migrans, where humans are accidental …

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