Figure.1 Clinical photo of patient showing elephantiasis leg.
There were three ulcers, each measuring on average 2 × 3 cm, and exhibiting pus discharge. There
was an associated fever with chills. She also reported a history of
recurring swelling in both legs, along with intermittent episodes of
ulceration. On examination, non-pitting edema was observed in both the
feet, legs, and thighs, and three ulcers were observed in the right
groin. Each ulcer had an irregular margin, sloping edge, and a yellowish
overlying slough, with a discharge of pus. The base was indurated and
fixed with underlying structure. The skin of both legs had a blackish
pigmentation and rough scaling. There was an incision mark with fibrosis
present on the right thigh, indicating a similar past history. Bilateral
inguinal lymph nodes were palpable. They were discreet, smooth, and firm
in consistency. All other systems were within normal limits. Blood parameters were in normal parameters except slightly raised eosinophils (5%) and ESR (45).
Due to the presence of infection and pus discharge in the
ulcer, a pus sample was collected for microscopic examination and culture sensitivity.