Case presentation A 68-year-old diabetic woman visited the hospital with multiple tender swellings over extremities formed over three days without any constitutional symptoms. She had several similar episodes in the past and was diagnosed with folliculitis. The patient underwent incision and drainage treatment during those episodes.
Pus culture failed to demonstrate any organism growth. Physical examination Multiple, tender, firm subcutaneous nodules on the left lower thigh and right forearm (Cover image A and B) Cutaneous erythema observed surrounding the nodules Biopsy findings Biopsy of the forearm nodule was done Mild positive results for tuberculosis were seen Histopathological findings A circumscribed epithelioid granuloma, Langhans giant cells, and dense lymphocytic infiltrate was observed Strong positive Mantoux test Hematological findings Blood investigations, Chest X-ray…
