 This 15-year-old female is a student who presented with a brulee ulcer affecting the left anterior thigh. As you can see, the edges of these lesions are undermined and an aspirate was obtained as well as a swab for culture and for PCR. PCR was positive for m-austrons and culture also grew mycobacterial austrons. Treatment with rifampicin streptomycin was started and the estimated surface area of this category 2 lesion before treatment was 26.4 cm2. There was a progressive decline in the dimensions of the lesion such that at 4 weeks, the lesion measured 6x6 cm2. At 8 weeks, there was complete healing of the lesion with no functional limitation to the knee joints. Had this treatment not been started, given the critical location of this lesion, this patient would have gone on to develop functional limitations such as a flexural contracture and would have impaired this patient's ability to walk.