This case of double extragenital infection with the Spirochaeta pallida is of unusual interest because of: (1) the rarity of extragenital chancres in the colored race, and (2) the simultaneous inoculation of the lower lip at two symmetrical positions, producing a double chancre and a bilateral submaxillary bubo.
REPORT OF CASE
—Miss G. F., aged 19, colored, came to the dermatologic department of Northwestern University Medical School, March 21, 1917, presenting two lesions on the lower lip. She stated that five weeks before she had first noticed two small, hard "sores" on the lip which grew rapidly to their present size. The swollen glands on the two sides of the neck developed shortly after the lesions on the lip. There was no pain at any time. During the past two weeks she had had headache, slight sore throat and malaise. On close questioning the patient admitted that she had
ZEISLER EP. MULTIPLE CHANCRES OF THE LIP. JAMA. 1917;LXVIII(21):1546–1547. doi:10.1001/jama.1917.04270050248010
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