A 21 -year old male presents to Dermatology clinic with complaints of pain, itching, and discharge of pus from armpits for one month. The patient has difficulty moving his arms while walking and also while getting dressed. He initially had small lumps around his armpits. He uses deodorants to prevent perspiration. Temperature is 37.1C, BP 105/62 mm of Hg, and pulse is 78/min. Physical examination shows a narrow sinus tract with a foul-smelling discharge with 2-3 tender lumps around the lot with previous non-healing scars. The swab test was positive for the growth of Staphylococcus. The patient has then prescribed a combination of Clindamycin and Rifampicin, both twice a day for ten days, along with Isotretinoin therapy, but it was ineffective. His BMI is 29 kg/m2.