PMC4314884_01
Ulcers covered with pus and slough seen over the left side of the neck, left axilla and lateral chest wall
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F1
The ulcers were tethered to the underlying indurated tissue [Figure 1].
(a) Non pigmented, smooth colonies on Lowenstein-Jensen medium on 7th day of inoculation at 37 C (b) Ziehl-Neelsen stain of the culture showing acid fast bacilli
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F2
To establish the cause, culture was repeated, which this time grew non pigmented, smooth colonies on Lowenstein-Jensen medium on 7th day of inoculation at 37 C [Figures 2a and b].
Complete healing of the ulcers, 2 months after treatment
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F3
At the end of 40 days of clarithromycin, the ulcer over the neck, completely healed [Figure 3].