case_images: PMC4314884_01
case_images: Ulcers covered with pus and slough seen over the left side of the neck, left axilla and lateral chest wall
case_images: IDOJ-6-31-g001.jpg
case_images: PMC4314884_01_IDOJ-6-31-g001.jpg
case_images: F1
case_images: The ulcers were tethered to the underlying indurated tissue [Figure 1].
case_images: (a) Non pigmented, smooth colonies on Lowenstein-Jensen medium on 7th day of inoculation at 37 C (b) Ziehl-Neelsen stain of the culture showing acid fast bacilli
case_images: IDOJ-6-31-g002.jpg
case_images: PMC4314884_01_IDOJ-6-31-g002.jpg
case_images: F2
case_images: To establish the cause, culture was repeated, which this time grew non pigmented, smooth colonies on Lowenstein-Jensen medium on 7th day of inoculation at 37 C [Figures 2a and b].
case_images: Complete healing of the ulcers, 2 months after treatment
case_images: IDOJ-6-31-g003.jpg
case_images: PMC4314884_01_IDOJ-6-31-g003.jpg
case_images: F3
case_images: At the end of 40 days of clarithromycin, the ulcer over the neck, completely healed [Figure 3].