Case 18

 
Clinical Information
 

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.

Gross Description
 

 

 
  HE, 2 HE, 10
   
  AFB  
     
 

Click here for diagnosis and case discussion.

     
 

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