PMC10313317_01
Patient evolution in the fourth month of disease, with confluent ulcers throughout the left upper limb covered by crust with a verrucous aspect.
1678-9946-rimtsp-65-S1678-9946202365041-gf01.jpg
PMC10313317_01_1678-9946-rimtsp-65-S1678-9946202365041-gf01.jpg
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The physical examination showed fistulas, which arose from nodules, and confluent ulceration from proliferation throughout the left upper limb (Figure 1). Figure 1 shows the characteristics of the patient's lesions in the four months of disease prior to hospital admission.
Progressive healing process of skin lesions. Left image taken after treatment with amphotericin B. Right image taken one month after hospital discharge (seven months after the initial injury).
1678-9946-rimtsp-65-S1678-9946202365041-gf02.jpg
PMC10313317_01_1678-9946-rimtsp-65-S1678-9946202365041-gf02.jpg
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The skin lesions had a relevant improvement during hospitalization (Figure 2), evidenced by a progressive healing process after the use of amphotericin B.