A Wildlife Biologist with Skin Lesions

Abstract

A 28-year-old, white, male wildlife biologist presented with multiple skin lesions on his left hand and forearm. These lesions varied in size from that of a penny to that of a quarter (i.e., 1020 mm). The patient had been working with Desert Bighorn Sheep, Ovis canadensis, in the Silver Bell Mountains of Pima County, Arizona. He physically subdued these sheep by hand. Before doing this, he would spray his flight suit, hands, gloves, and other equipment with chlorhexidine. Six weeks after starting this job in January 2004, he developed multiple raised, noner-~~~~~/-