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December 1942


Arch Otolaryngol. 1942;36(6):940-943. doi:10.1001/archotol.1942.03760060180011

I wish to present a case of so-called infectious granuloma, or progressive lethal granulomatous ulceration, of the nose.

REPORT OF A CASE  A married woman aged 22 had the onset of her present illness in 1935, when she noticed a slight ulceration in the floor of the left side of the nose in the vestibule. There was some nasal discharge, and she complained of pain in the left cheek and the upper teeth on the same side. The ulcer was about 1.5 cm. in diameter and not particularly deep, but was covered with a thick crust and was very painful. At times she had low grade fever, excessive lacrimation and headaches. In December 1936, when she was seen in the outpatient clinic, the lesion was about the same except that it was a little larger and deeper. Her past medical, family and social histories were essentially without significance. The only

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