Case 171. Madura foot (45 y-o M)

       
  Excision of fistule-forming inflammatory nodule at the ankle of a Japanese man with a history of canine bite 25 years earlier  
       

 

  Cut surfaces of the surgically removed nodule. Black granules (grains) are seen in the center of xanthogranulomas. Extensive fibrosis is seen between the granulomas (gross findings).