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Lymphogranuloma Venereum Lymphadenitis

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This image shows a necrotic focus with neutrophils in the center surrounded by epithelioid histiocytes. In later stages, confluent cutaneous abscesses may drain to the outside via sinus tracts. Differential diagnosis includes Cat-scratch disease, tularemia, and atypical mycobacterial infection. Diagnosis can be confirmed by Frei test, serologic, immunofluorescent, or molecular testing.

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