Lymphogranuloma Venereum
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![Heme_LN_LGV4.jpg](/slides-13/slides/Heme_LN_LGV4.jpg)
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Lymphogranuloma venereum: 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.