PARASITIC GRANULOMA: 
A CONDITION ALLIED TO ORIENTAL SORE 
OCCURRING IN EGYPT 
BY 
A. R. FERGUSON, M.D., 
PROFESSOR OF PATHOLOGY, EGYPTIAN GOVERNMENT SCHOOL OF MEDICINE, 
AND 
OWEN RICHARDS, F.R.C.S., M.Ch. (Oxon.), 
SURGEON TO THE GOVERNMENT HOSPITAL, KASR EL AINY, CAIRO, AND 
PROFESSOR OF CLINICAL SURGERY, EGYPTIAN GOVERNMENT SCHOOL OF MEDICINE 
( Received for publication 2 April , 1910) 
Plates XII-XV 
Outpatient practice among the poorer classes in Egypt includes 
a variety of conditions not described in the English textbooks. 
One of these has presented itself with sufficient frequency to induce 
us to try and investigate it. It consists essentially of a chronic 
elevated patch or warty growth in the skin, sharply localised, and 
unaccompanied by other symptoms. Most of the cases we have so 
far seen have been structurally papillomata, others have consisted 
of flat skin-covered granulomata. We have described them as 
warty and flat forms respectively, and in both we have 
occasionally found ‘bodies’ of the same class as those described 
in Oriental sore. Clinically, however, these cases differ widely 
from the usual description of that condition, and we do not think 
they can be classed under that name as it is used at present. 
Taking these two forms of the disease together, we have, so 
far, investigated clinically and pathologically ten cases of the 
nature of which we feel tolerably certain. Besides these, we have 
observed a number of similar ones in which some doubt existed, 
or of which full notes have not been kept. In addition to these, 
Professor Bitter and Dr. Dreyer, Bacteriologist and Assistant 
Bacteriologist respectively to the Egyptian Government, have eac 
met with a case of a similar nature, in which the parasite was 
found. They have kindly permitted us to append their notes o 
