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.