chronic ulcer over right shoulder 6 month... biopsy from ulcer margin 42 female

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Chronic granulomatous inflammation

?Chronic granulomatous lesion

Ulcer with chronic granulation tissue Take another bit from ulcer for TB PCR.

1. Exuberant granulation tissue with giant cell reaction 2. Abundant neutrophils (rule out fungal infection by PAS or Silver stain)

Chronic granulomatous lesion

Chronicgranilomatous reaction

Granulation tissue

Giant cells seen in 2nd and 3rd pic . ? Fungal elements in 7th pic

Chronic granulomatous lesion Sug.clinical correlation Tb igra ... GENXPERT TB from the tissue

Chronic granulation tissue

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