PMC4348614_01
Clinical photograph showing discharging (serosanguinous as white arrow) sinuses present over previous-surgical scar with scarring and keloid formation on lower anterior abdominal wall.
CRIDM2015-607519.001.jpg
PMC4348614_01_CRIDM2015-607519.001.jpg
fig1
There was no apparent mass over the abdomen, but 6 sinus openings were noted over the lower anterior abdominal wall (Figure 1).
Showing numerous dry, rough, pigmented colonies of M. szulgai (a: bright orange as white arrow) and M. intermedium (b: pale/light yellow as black arrow) over Lowenstein-Jensen media slant.
CRIDM2015-607519.002.jpg
PMC4348614_01_CRIDM2015-607519.002.jpg
fig2
The BacT/ALERT MP showed positive growth in 5 days for acid fast bacilli, which on further subculture onto L-J medium gave dry, rough, pigmented, and yellow to orange colonies after one-week period (Figure 2).