Granuloma inguinale (donovanosis) of the oral cavity. A case report

A case of granuloma inguinale of the oral cavity clinically resembling actinomycosis is reported. This condition should be considered in the differential diagnosis of chronic ulcerative lesions of the mouth, especially in patients with associated genital ulcers.     

Eosinophilic Granuloma of Bone

Forty-three patients with histologically proven Histiocytosis X localized to bone at presentation have been reviewed. Thirty-six patients presented with solitary bone lesions and 31 have healed without complication with a mean follow-up of 10 years. the remaining five patients developed polyostotic disease, three exhibiting either pulmonary lesions or diabetes insipidus. Seven patients presented with multiple bone lesions and six of them developed other bone lesions. Four of these patients also showed some of the features of Hand-Schiiller-Christian disease. An increase in size of the presenting bone lesion within a few months of biopsy heralded the subsequent development of further bone or soft tissue lesions and was the only feature of prognostic value.     

Calcified Postoperative Epicardial Granuloma

A sterile calcified granuloma on the external surface of a right ventriculotomy in an 8-year-old boy was identified four years after closure of a ventricular septal defect. He had no symptoms, but a systolic ejection murmur was identified and disappeared after resection of the lesion. Sensitivity to silk suture material is suggested by the operative findings and a history of multiple silk suture sinuses developing in his uninfected original thoracotomy incision.