case_images: PMC7497830_01
case_images: Treatment of the chronic multi-bacterial infection of the scalp over 60 days with a combination of 1 % NCT, 1 % NBrT and 0.1 % BAT. (a) Lesions growing on the elderly patient's scalp resembled pustular erosions with eschars. (b) Assuming an infectious origin, some lesions were detached successfully (indicated by an arrow) by using a gauze soaked with a 1 % NCT solution. Tissue and swabs were collected and sent for microbial culture. (c) On day 3, treatment with 1 % NCT showed visible but slow regression of the lesions. Combination therapy with 1 % NCT and 1 % NBrT was commenced. (d) The next day (day 4), the 1 % NCT and 1 % NBrT combination treatment had accelerated the regression and softening of the lesions. (e) By the fifth day of treatment, lesions together with a subcutaneous portion of skin could be partly removed without serious bleeding. Application of 0.1 % BAT twice daily was commenced at home. (f) Evident accelerated tissue repair and almost total clearance of remaining lesions. (g) Wounds were epithelialized, with no evident recurrence of lesions. (h) Further epithelialization of the wounds from the previous lesions. (i) Remarkable epithelialization and tissue repair induced the decision to end the treatments at the clinic. (j) The skin was completely epithelialized and returned to normal pigmentation. Application of 0.1 % BAT was stopped.
case_images: acmi-2-126-g001.jpg
case_images: PMC7497830_01_acmi-2-126-g001.jpg
case_images: F1
case_images: AD Biotech.Lab. affiliated clinic for a set of pustular erosions with eschars growing on her scalp (Fig. 1a). A recent haematology examination had recorded that the patient suffered from mild eosinophilia of 5 900 cells microl-1, a slightly low haematocrit level of 33.4 % and 11.1 g haemoglobin dl-1.