case_images: PMC3546444_01
case_images: Perianal region examination showing large bilateral infected ulcerations followed by pus.
case_images: CRIM.ID2012-852763.001.jpg
case_images: PMC3546444_01_CRIM.ID2012-852763.001.jpg
case_images: fig1
case_images: The perianal region examination showed large bilateral infected ulcerations followed by pus (Figure 1).
case_images: Thoracic X-ray revealed bilateral nonhomogenous infiltrations and cavitary lesions in the right lung.
case_images: CRIM.ID2012-852763.002.jpg
case_images: PMC3546444_01_CRIM.ID2012-852763.002.jpg
case_images: fig2
case_images: The abdominal X-ray revealed bilateral nonhomogenous infiltrations and cavitary lesions in the right lung (Figure 2).
case_images: The contrast-enhanced computed tomography scan of the abdominal and pelvic region showed multiple mesenteric and retroperitoneal necrotic adenopathies.
case_images: CRIM.ID2012-852763.003.jpg
case_images: PMC3546444_01_CRIM.ID2012-852763.003.jpg
case_images: fig3
case_images: A contrast-enhanced computed tomography scan of the abdominal and pelvic region showed multiple mesenteric and retroperitoneal necrotic adenopathies (Figure 3).
case_images: HES x 300, epithelioid granulomas multinucleated giant cells (G), with caseous necrosis (N).
case_images: CRIM.ID2012-852763.004.jpg
case_images: PMC3546444_01_CRIM.ID2012-852763.004.jpg
case_images: fig4
case_images: Histological examination of all biopsies showed epithelioid granulomas and Langhans' type multinucleated giant cells, with the presence of caseous necrosis (Figure 4).
case_images: Perianal region examination after six months from beginning of treatement showing complete disappearing of the ulcerations with only a bilateral mild granular region.
case_images: CRIM.ID2012-852763.005.jpg
case_images: PMC3546444_01_CRIM.ID2012-852763.005.jpg
case_images: fig5
case_images: After six months of treatment, the lesion had disappeared, and only a bilateral mild granular region remained (Figure 5).