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Question of the Day

May 4, 2026
Question Image

The appearance of this Tunisian woman's ear is most consistent with which one of the
following infectious diseases?

a. Leprosy

b. Leishmaniasis
c. Syphilis

d. Tuberculosis
e. Yaws

G2 ™

ALeprosy
BLeishmaniasis
CSyphilis
DTuberculosis e. Yaws G2 ™

Correct Answer: B

Correct Answer: Leishmaniasis

Cutaneous leishmaniasis is endemic in Tunisia, particularly in the central and northern parts
of the country. Lupoid leishmaniasis is an uncommon form of chronic cutaneous
leishmaniasis associated with Leishmania tropica. A polymerase-chain-reaction assay
performed on a biopsy specimen from this patient was positive for leishmania.

th NEW ENGLAND
JOURNAL ¢ MEDICINE

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