 This eight-year-old pupil presented with a plaque underneath the chin. An FNA was obtained and it was positive for M. ulcerans. This technique, FNA, is preferred to a punch bouncy, given the critical location of the lesion. This C2 lesion resolved with antibiotic treatment combination streptomycin refampicin, according to the WHO recommendation. Had the lesion not been treated at the time we did, the natural history of such plaques is to all straight and would have caused a severe deformity of this patient's chin. Again, the response to antibiotic treatment highlights the excellent clinical efficacy of the combination streptomycin refampicin in the treatment of all categories and all lesion types of buruli ulcer.