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BUBONULUS IN GRANULOMA INGUINALE

1943; American Medical Association; Volume: 48; Issue: 5 Linguagem: Inglês

10.1001/archderm.1943.01510050018002

1538-3652

Nathan Sobel,

Diagnosis and treatment of tuberculosis

Bubonulus is the term applied to a lymphangitic abscess which occasionally occurs in chancroidal infection and lymphogranuloma venereum. It is important to note that this lesion occurs along the course of a lymphatic vessel in a location where no lymph glands are present. At times suppuration occurs simulating a bubo. In 1940, Brandt 1 reported 3 cases of lymphogranuloma venereum in which bubonuli were present. Somewhat similar lesions have also been described as occurring in tuberculosis and in tularemia. 1 The usual concept of granuloma inguinale is that it is a disease which involves the skin alone and spares the lymphatic system. In rare instances involvement of the lymph nodes by way of the regional lymphatic drainage has been reported. 2 However, to our knowledge true bubonuli have not been reported in granuloma inguinale. In our clinic a considerable number of patients with granuloma inguinale have been treated, but lymphatic