Abstract:
A 16-year-old male patient reported with swelling of the right submandibular region for 3 months. The patient was asymptomatic and gave a history of fever lasting for 2 days before observing the swelling. Fine-needle aspiration cytology revealed nonspecific lymphadenitis, and since there was no apparent cause detected in the oral cavity or any systemic condition noted, the enlarged lymph node was surgically excised and submitted for histopathologic examination. The inflammatory condition and large numbers of macrophages appeared nonspecific while granuloma formation was not seen. Specific antibody titer against Toxoplasma gondii was carried out and extremely high level of IgG for toxoplasma was detected confirming the diagnosis of toxoplasmosis leading to lymphadenitis.
摘要:
一名16岁的男性患者报告右颌下区域肿胀3个月。患者无症状,在观察肿胀之前有持续2天的发热史。细针穿刺细胞学检查显示非特异性淋巴结炎,并且由于在口腔中没有发现明显的原因或任何全身性疾病,手术切除肿大的淋巴结,并接受组织病理学检查。炎症状态和大量巨噬细胞出现非特异性,而肉芽肿形成未见。进行了针对弓形虫的特异性抗体滴度,并检测到了极高水平的弓形虫IgG,证实了弓形虫病导致淋巴结炎的诊断。