Figures & data
Fig. 1a. and 1b. Coronal STIR and Axial T2 fat saturated MRI images through the thigh showing increased signal involving the subcutaneous fat (cellulitis), superficial muscle fascia (fasciitis) and biceps femoris muscle (myositis) and also extension of the signal to the neurovascular bundle.
Fig. 2a. H&E, 100x magnification. A large granuloma within collagenous tissue contains a central area of foamy epitheliod macrophages and empty lipid-like spaces (arrow), surrounded by a rim of multinucleate giant cells admixed with epithelioid cells and lymphocytes.
Fig. 2b. H&E, 200x magnification. A multinucleate giant cell contains polarisable foreign material (arrow) amongst the non-necrotising granulomata.
Fig. 3. Clinical photograph of lateral aspect right thigh prior to wide excision following initial skin grafting and multiple debridements. There is extensive induration extending through the popliteal fossa.
