Old World CL ulcers covered with typical eschar

A previously healthy, 23-year-old soldier noted lesions on his neck two months after deployment near the Iraq-Iran border. He did not have fever, chills, or any systemic symptoms. A physical examination revealed five painless, mildly pruritic, indurated lesions on his neck that had raised borders and a central scale. There were two similar lesions on his right lower extremity. He had mildly tender posterior auricular adenopathy, but there were no other abnormal findings on physical examination.