This week's case presents a previously healthy toddler who began acting unusually fussy and refused to ambulate. Examination reviewed a thin black object under the skin of her right foot. Extraction was unsuccessful, and the child was playing and ambulating at the end of the visit and was therefore sent home. The child was brought back the following day because the object had moved approximately 3 cm within a 24-hour period in the semilunar pattern shown in the image below: What is the identification?
Every week, Mayo Clinic microbiologist Bobbi Pritt, M.D., posts a new case, along with the answer to the previous case. Read Dr. Pritt's blog, Parasite Wonders, and submit your answers, comments, and questions. Also, visit her new website ParasiteWonders.com, which hosts an archive of classic images from cases Dr. Pritt has posted going back to 2007 (in an easy-to-search "A through Z" format) and also offers a flashcard feature.
Dr. Pritt started her blog after she completed her fellowship at Mayo Clinic in clinical microbiology. She attended the London School of Hygiene and Tropical Medicine to study parasitology for one year. During that year in England, Dr. Pritt saw some amazing cases, which she shared with her colleagues back at Mayo through her blog. Through word of mouth, people from all walks of life around the globe have become interested in Dr. Pritt’s “case of the week,” and her readership continues to grow.
Note from Dr. Pritt: All opinions expressed here are mine and not my employer's. Information provided here is for medical education only. It is not intended as, and does not substitute for, medical advice. I do not accept medical consults from patients.