Granuloma inguinale (donovanosis) presenting as a neck mass in an infant

A case of granuloma inguinale (GI) presenting as a lateral neck mass in a I -month-old, HIV-positive infant is described. The histological features of the mass were typical of GI, with numerous macrophages containing intracell ular organisms with a "closed-safety-pin" appearance. This is a rare occurr ence, and the mode of transmission of infection is discussed. An awareness of GI in infants by both clinicians and pathologists is important to preven t morbidity and allow for prompt institution of appropriate treatment.