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ID#:6754
Description:This patient presented with a swollen scrotum, which was diagnosed as a syphilitic gumma of the testicle.
Usually appearing during late-staged, tertiary syphilis, gummas, or gummata are a mass of dead and swollen fiber-like tissue representing a localization of T. pallidum bacteria, which can form in the liver, brain, testis, heart, skin, and bone. The gummatous center appears as a rubbery, grayish white region of necrosis. They can manifest as microscopic or large, macroscopic necrotic lesions. Syphilis is known as the “great imitator”, for its manifestations often resemble other disease processes; gummas can be very similar in appearance to other granulomatous inflammatory conditions such as tuberculosis, leprosy, and some fungal infections.
High Resolution: Click here for hi-resolution image (6.24 MB)
Content Providers(s):CDC/ Susan Lindsley, VD
Creation Date:1976
Photo Credit:Donated by Brian Hill, New Zealand
Links:CDC - National Center for HIV, STD and TB Prevention Division of Sexually Transmitted Diseases – Facts on Syphilis
CDC – National Center for HIV, STD and TB Prevention Division of Sexually Transmitted Diseases – STD Prevention – Syphilis Fact
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Copyright Restrictions:None - This image is in the public domain and thus free of any copyright restrictions. As a matter of courtesy we request that the content provider be credited and notified in any public or private usage of this image.

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