Suppurative granulomas (granulomas with central abscess or microabscess formation) are characteristic findings in lymph nodes in cat scratch disease, lymphogranuloma venereum, and tularemia . In these conditions the granulomas are often large and irregular in shape and may exhibit a stellate configuration. Suppurative granulomas may also be seen following aspiration, in chronic granulomatous disease of childhood and in a wide variety of infectious diseases including Yersinia infection, actinomycosis, nocardiosis, fungal infections, and mycobacterial infection. Suppuration may occur in the granulomas of sarcoidosis but it is extraordinarily rare.
Suppurative stellate granuloma of undetermined etiology