|Description:||This 1952 image depicted the left foot of a patient, which displayed an acute tropical ulcer upon his admission to Goroka Hospital, in Goroka, New Guinea. At the time of this photograph, the lesion had been debrided, and the patient had been hospitalized for seven days. Note the healthy, pink granulation tissue lining the ulcerative base.|
See PHIL 12174 for the appearance of this acute ulcerative lesion just prior to treatment. There is no information as to the cause of this infection, however, tropical ulcers are usually caused by fusiform bacilli and spirochetes. The town of Goroka is situated at an altitude of 5,200 feet.
Usually beginning as a cutaneous abrasion, or wound, the acute tropical ulcer is known to occur in tropical regions with high heat and humidity, and to individuals with compromised immune systems, who's affected skin was in an unhealthy state. A serous-filled bulla, or blister-like covering, developes at the wound site, which eventually ruptures, releasing its contents of necrotic tissue and fluid, thereby, exposing a granulomatous wound base.