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  Indian J Med Microbiol
 

Figure 4: Dermis shows large areas of necrosis and mixed inflammatory infiltrate predominantly composed of neutrophils, lymphocytes, eosinophils, and plasma cells with karyorrhectic debris. Epithelioid cell granulomas, multinucleated foreign body giant cells, and Langhans giant cells are also noted (H and E, ×400)

Figure 4: Dermis shows large areas of necrosis and mixed inflammatory infiltrate predominantly composed of neutrophils, lymphocytes, eosinophils, and plasma cells with karyorrhectic debris. Epithelioid cell granulomas, multinucleated foreign body giant cells, and Langhans giant cells are also noted (H and E, ×400)