A 41-year-old man with a past history of chronic hepatitis –C infection, substance abuse, and psychiatric illness underwent a leg amputation for cellulitis. He had recurrent fever, night sweats, and chills. He developed multiple 0.5-2.0 cm subcutaneous nodules on his legs, arms, abdomen, and fingers. A punch biopsy was done.

Mycobacterial culture from the biopsy material was positive for growth at 4 days.

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Source: Department of Pathology, Creighton University Medical Center, Omaha, NE

Photo: Hansen TP, Sarma DPD

Discussion: Hansen TP, Sarma DP

Reviewed by: Hansen TP, Sarma DP