A farmer is presented with sinuses with a discharging granule on the leg
granules were crushed and examined, Which of the following statement is correct
regarding this scenario:
A. Can be caused by Bacteria and Fungi
B. Involves Skin only. No deeper tissue involvement.
C. Lymphocyte accumulation is present.
D. Spread by the hematogenous route
Answer. A
Solution. The scenario you described could be caused by both bacteria and fungi, and involves
deeper tissue involvement beyond just the skin. Sinuses with discharging granules on the leg
can be indicative of a deeper infection that has spread from the skin to underlying tissues, such
as the subcutaneous tissue or bone. This type of infection can result from a variety of causes,
including both bacteria and fungi, and can be difficult to treat if left untreated for an extended
period of time. Lymphocyte accumulation may be present in the affected area as part of the
body’s immune response to the infection. The spread of the infection to deeper tissues can
occur through a variety of routes, including the hematogenous route, where the infection
spreads through the bloodstream to distant sites. It is important to obtain a proper diagnosis and
prompt treatment for this type of infection to prevent further spread and complications. This
often involves obtaining a sample of the discharging material for laboratory analysis, such as
culture and microscopic examination, to determine the specific cause of the infection and guide
appropriate treatment