LAUSR

Two brothers from countryside were admitted to our centre with history of necrotic ulcers. Both of them were treated with oral and intravenous antibiotics, but treatment was ineffective. A 12-year-old boy had lesions on his head lasting for 4 weeks. Skin lesions started 1 week after he played with rats and neighbour's domestic calves, sheep and goats. Before the eruption occurred, the patient had subfebrile temperature and flu-like symptoms. Less severe eruption and symptoms were reported by his mother and 3-year-old sister. The 16-year-old boy had necrotic ulcers on the face. He had febrile temperature one week after his brother developed the eruption. The patient had close contact with his brother and sister but denied any contact with domestic or wild animals. This article is protected by copyright. All rights reserved.