A 52-year-old woman was presented with asymptomatic lesions on the shin and dorsa of feet. Two of these lesions had ulcerated 6 months prior to presentation. The patient used corticosteroid but did not get any relief. Medical History: Diabetes Mellitus II Physical Examination: Two well demarcated ulcerated plaques with granulation tissue in the centre, associated with yellowish crust and discharge.
Multiple erythematous dusky nodules and plaques were also present. Histopathology: Diffuse, dense granulomatous infiltrate occupying the whole dermis and subcutaneous tissue composed of macrophages heavily laden with leishman bodies, admixed with mononuclear cells, neutrophils, nuclear debris and foci of necrosis. Laboratory Results: Bacterial culture: Staph coagulase-negative Tissue culture for deep fungal, typical and atypical mycobacteria: negative What can be the possible management for…
