A 43 year- old female patient with an inflammatory painful nodule, about 0.5/1 cm diameter, which expressed a purulent discharge at pressure. It was observed by the patient three weeks before admission in hospital. Repeated trauma to the lesion led to its extension, to the occurrence of an erythematous and edematous big plaque with pustules on the surface, intensely painful, so the patient went to a surgical department in the territory. A surgery consultation was initiated for debridement of necrotic wound areas.
Cultures were sterile for bacteria and fungi. The patient was admitted to Dermatology Clinic where the skin examination revealed erythematous-edematous big plaque, uneven margins, 20/15 cm in diameter, 2 cm depth, covered with sphacelous, debris, yellow-green pus, localized on the left inguinal area and pubic area. The only symptom described by the patient was the pain.…
