Abstract
A 45-year-old unemployed and destitute Malay male with mild intellectual disability presented with increasing pain over the right base of his foot associated with a smelly discharge and a fever of 1 day. He had a long history of walking barefoot in soil and reported skin lesions, swelling and discharge that have been present for more than 8 years. His recent presentation is due to the progressively increasing pain, size and volume of discharge impacting his mobility. Physical examination revealed a right leg displaying multiple verrucous nodules covering the entire right foot dorsal surface extending to mid-shin with a foul-smelling yellowish exudate discharging from between the nodule crevices as seen in Figure 1.
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