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Image Number 1853 (Ecthyma)


Diagnosis: Ecthyma

Site: Foot,dorsum

Sex: M

Age: 35


Description: Punched-out ulcer with purulent discharge.

Submitted by: Nameer Al-Sudany

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Differential Diagnosis


A middle-aged man working in a dirty environment  presented with a painful ulcer having an irregular punched-out edge and granular base associated with purulent discharge of 4 weeks duration. Culture of a swab taken from the lesion's margin yielded mixed infection with both S. aureus and Streptococcus pyogens

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