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Mycobacterial granulomas due to Mycobacterium sp. strain Tarwin on the periocular skin of case 9. The lesions take the form of multiple nodules in the subcutis. Lesions are neither hot nor painful, and in contrast to M. lepraemurium lesions, ulceration was not a feature. The distribution is consistent with the introduction of bacilli on the claws of a perpetrator as a result of a cat scratch. Images A and B show different perspectives to illustrate the extent and number of the lesions.
