PMC8631975_01
Swelling and purulent exudation from the wrist (A) to the left forearm (B); beaded proliferative nodules from the dorsum of the right hand (C) to the right forearm (D).
IDR-14-4977-g0001.jpg
PMC8631975_01_IDR-14-4977-g0001.jpg
f0001
Specialist examination findings were as follows: swelling and purulent exudation from the wrist (Figure 1A) to the left forearm (Figure 1B); beaded proliferative nodules from the dorsum of the right hand (Figure 1C) to the right forearm (Figure 1D); and scattered nodules on both knees (Figure 2A) and the left lower limb (Figure 2B).
Scattered nodules on both knees (A) and the left lower limb (B).
IDR-14-4977-g0002.jpg
PMC8631975_01_IDR-14-4977-g0002.jpg
f0002
Specialist examination findings were as follows: swelling and purulent exudation from the wrist (Figure 1A) to the left forearm (Figure 1B); beaded proliferative nodules from the dorsum of the right hand (Figure 1C) to the right forearm (Figure 1D); and scattered nodules on both knees (Figure 2A) and the left lower limb (Figure 2B).
The histopathological results showed superficial and deep granulomatous dermatitis with suppuration, multinucleated giant cells (A); negative periodic acid Schiff (PAS) staining (B); acid-fast bacilli were seen on skin biopsy stained with Ziehl-Neelsen stain (C).
IDR-14-4977-g0003.jpg
PMC8631975_01_IDR-14-4977-g0003.jpg
f0003
The histopathological results showed superficial and deep granulomatous dermatitis with suppuration, multinucleated giant cells (Figure 3A); and negative periodic acid Schiff (PAS) staining (Figure 3B). Acid-fast bacilli were seen on skin biopsy stained with Ziehl-Neelsen stain (Figure 3C).
White, smooth colonies was observed in potato dextrose agar (PDA) medium after 1 week.
IDR-14-4977-g0004.jpg
PMC8631975_01_IDR-14-4977-g0004.jpg
f0004
White, smooth colonies were observed in potato dextrose agar (PDA) medium after 1 week (Figure 4).
Acid-fast staining of the bacterial suspension demonstrated acid-fast bacilli.
IDR-14-4977-g0005.jpg
PMC8631975_01_IDR-14-4977-g0005.jpg
f0005
Acid-fast staining of the bacterial suspension demonstrated acid-fast bacilli (Figure 5).