A 4-year-old girl presented with a very painful and tender red swelling with a central pustule on the anterior aspect of the lower part of the forearm of three days duration. It was associated with a tender axillary lymphadenopathy. The lesion had been drained with a simple small incision under local anesthesia with an anti-staphylococcal antibiotic.
A young adult male (23-y-old) presented with chronic, indolent, inflammatory discharging nodules on the neck of about two years duration. Some older lesions have left scarring behind. Cervical lymph nodes were enlarged and skin biopsy showed dermal tuberculoid granulomas.
About three weeks after sexual intercourse with a prostitute the lesion began as a single, painless papule that rapidly became eroded and then transformed into an indurated cartilage-like rounded ulcer on the scrotum. Both VDRL and TPHA were positive. The patient was treated with 2.4 million units benzathine penicillin intramuscularly repeated after one week with excellent response.
A 50-year-old man presented with an asymptomatic, rounded ulcer with hard cartilage-like sensation on palpation on the shaft of the penis just below the coronal sulcus of few weeks duration. STS (VDRL & TPHA) were positive. Two i.m. injections of benzathine penicillin 2.4 mega units one week apart resulted in cure.
Periorificial honey-colored crusts of 3-5 days duration in a 3-year-old male toddler. Cure obtained through one week course of oral cephalexin plus topical fusidic cream.
A 10-day-old neonate presented with fever and widespread blisters, pustules and raw erosions involved the face, neck, trunk and upper extremities of few days duration. The condition has been cured on topical and systemic antistaphylococcal antibiotics.
A 28-year-old lady presented with painful and tender swelling of both periorbital regions and surrounding cheeks associated with fever, headache and malaise of 10 days duration. Excellent response was obtained through treatment with i.v penicillin for 10 days.
A 23-year-old female presented with painful and tender, red, swollen distal phalangeal area of the index finger with pus accumulation under the nail plate of few days duration.
