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While he had previously received extensive courses of antimicrobials as well as prior surgical debridement in December 2020, his skin lesions and biopsies remained culture positive with evidence of necrotizing granulomas and abundant mycobacteria on staining

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In South Florida, we regularly see patients in their mid-20s who spent three or four years managing cystic acne with over-the-counter products, arriving at the clinic with significant scarring that early intervention would have prevented