Scrofula

An 8-year-old boy presented with the complaint of swelling over the left side of the neck over the last 6 weeks. The swelling was gradually progressive and painless; it ruptured with thick purulent discharge 2 days before presentation. There was no history of fever, cough, or weight loss. His father had pulmonary tuberculosis and was currently receiving therapy. On examination, the patient had an ulcerative lesion of 3.2 × 2.1 cm with undermined edges and a necrotic base with surrounding induration (Figure, A).

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