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A Case for Diagnosis (Infectious Granuloma [Tuberculous; Syphilitic?]) Presented by Dr. F. P. Lowenfish.
A. de B., a man aged 45, is presented from City Hospital with a lesion on the left zygoma which has been present for thirteen months. Thirteen months ago the patient noted a swelling over the left zygoma and consulted a dentist, who extracted a wisdom tooth. While he was under the care of this dentist, several pieces of bone were also removed from this region. Since then the swelling and a draining sinus have persisted. About three months ago a nontender, noninflamed swelling appeared on the back. This was aspirated and 30 cc. of purulent material removed, which was found by smear and culture to be sterile.
In 1917 the patient had a penile sore and was treated for several months in Cairo, Egypt, for syphilis. In June 1943, he was again treated
Bloom D, Lewis GM. NEW YORK ACADEMY OF MEDICINE, SECTION OF DERMATOLOGY AND SYPHILIS. Arch Derm Syphilol. 1945;52(3):210–214. doi:10.1001/archderm.1945.01510270068022
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