After being lost to follow-up, the patient presented in 2015 with a perineal wound draining
seropurulent, sometimes green fluid.
One week after surgery, she had evident erythema,
seropurulent drainage, and pain in the area around the incision for the reconstructed breast and the abdomen.
Examination revealed a single localised non healing ulcer measuring 7 X 5 X 2 cm over the plantar aspect of the right foot with sloping edges, indurated margin and pale granulation tissue with
seropurulent discharge at the base (Figure 1).
A
seropurulent fluid is extracted and sent for microbiological examination.
This manifested as local and diffuse
seropurulent basal deciduitis, chorioamnionitis and inflammation of membranes.
In August 2013, the patient began experiencing
seropurulent drainage at the catheter exit site without other signs of infection.
Stage-II: Increased swelling,
seropurulent discharge and ulcearation of fold.
The erythematous papules eventually discharge
seropurulent material and form underlying intercommunicating sinuses with eventual scarring.