PMC7424535_01
Ulcerated lesion in hand.
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On examination, there is crusted plaque with oozing pus mixed with blood with granulation tissue at the base of size 3 x 3 cm (Figure 1).
H&E section (100x magnification) revealing surface ulceration and crusting with dense inflammatory cell infiltrates in the dermis, at places forming pocket abscess.
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Dermis revealed suppurative to early plasma cell granulomas, along with eosinophils, macrophages, multinucleated giant cells, and focal abscess formation (Figure 2).
(a, b) Tachyzoites of Toxoplasma, highlighted by PAS stain (400x magnification).
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