Granulomatous Manifestations Associated with Animals and a Novel Potential Zoonotic Infection from Elephant Washing

Zoonotic infections are group of contagions that are transmitted from animals to humans. These are acquired from domestic and wild animals by different routes. Presentation can vary between systemic and cutaneous manifestation. A granuloma is a skin manifestation, that is named due to its appearance under a microscope. A wide range of skin pathologies exist, where granulomas are a prominent feature of their presentation. We report a case of a patient who presented with a solitary lesion on her hand, reminiscent of granulomata, following a trip to India where she was involved in washing elephants. Interestingly, the lesion exhibited similar features to that of fish tank granuloma, but there was no history of cleaning fish tanks or aquariums.