Although discrete polyadenopathy is known to occur in a minority of cases during the early stages of the bubonic form of lymphogranuloma venereum, the appearance of a fully developed bubo at a site remote from that of the original inguinal bubo is probably extremely rare. Cases with lymphogranulomatous inguinal buboes have been described with evidence of widespread involvement of retroperitoneal lymph nodes extending as far as the diaphragm (Reichle and Connor1) or of the mediastinal group of nodes (Sheldon et al.2).
The present case, in which a suppurating bubo appeared in the neck of a patient with bilateral inguinal buboes, is reported because of the unusual features presented. It was the only one of its kind encountered by me in an experience of several hundreds of cases of bubonic lymphogranuloma venereum in India, and the rarity of this manifestation of the disease is further suggested by the
SIMPSON RG. METASTATIC BUBO IN LYMPHOGRANULOMA VENEREUM. AMA Arch Derm Syphilol. 1952;66(4):526–527. doi:10.1001/archderm.1952.01530290102015
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