Diagnosis: Insect bite reaction 1
Description: Black papule on back!
Morphology: Unusual shapes
Site: Shoulder
Sex: M
Age: 60
Type: Clinical
Submitted By: Ted Rosen
Differential DiagnosisHistory: While out in the woods, hiking, this unfortunate gentleman acquired an embedded tick. He found this asymptomatic ectoparasite accidentally, while showering. The organism was removed, along with mouthparts, via superficial shave, and the patient was placed on prophylactic doxycycline.