This definition appears very rarely
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Samples in periodicals archive:
A 58-year-old man was seen at the Postgraduate Institute of Medical Education and Research, Chandigarh, India, on August 17, 2001, with two nonhealing, punched-out ulcers near the right lateral malleolus.
Postgraduate Institute of Medical Education and Research, Chandigarth, India, reported in Urological Research, the leading peer reviewed journal specializing in kidney stone research, that utilizing numerous scientifically accepted methodologies, 62% of the renal stones evaluated in a North Indian population of 65 patients, contained 60-200 nanometer-size organisms, with distinct cell wall and capsule.