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International Journal of Advances In Case Reports

Volume 11, Issue 1, 2024
Mcmed International
International Journal of Advances In Case Reports
Issn
XXX-XXXX (Print), 2349 - 8005 (Online)
Frequency
bi-annual
Email
editorijacr@mcmed.us
Journal Home page
http://mcmed.us/about/ijacr
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Abstract
Title
TOXOPLASMA LYMPHADENITIS DIAGNOSED BY FINE NEEDLE ASPIRATION CYTOLOGY
Author
Sushma R. Gulhane1*, Madhuri S. Kate2, Smita S. Sonawane3, Bahoran Singh4
Email
sushmar.gulhane@esic.in
keyword
Toxoplasma, Bradycyst , Lymphadenitis.
Abstract
Diagnosis of toxoplasma lymphadenitis with demonstration of bradycyst on fine needle aspiration cytology (FNAC) has been very rarely reported. We hereby report a case of toxoplasma lymphadenitis in thirty six year old male diagnosed on FNAC. Patient presented with bilateral posterior cervical swelling since two months. There were no other constitutional symptoms. FNAC smears showed epithelioid microgranuloma, monomorphous population of lymphoid cells along with a few plasma cells and tingible body macrophages. Toxoplasma cysts containing numerous bradyzoites which is pathgnomonic of Toxoplasma gondii were also demonstrated in a Papanicolaou and MGG stained smears. Considering a cytological features, positive serological test and history of animal contact the diagnosis of toxoplasma lymphadenitis was offered. Patient was treated with pyrimethamine and sulfadiazine and was followed up for recurrence for six months.To conclude, FNAC is valuable, cheap, noninvasive tool for the diagnosis of toxoplasma lymhadenitis and it avoids unnecessary surgical exicision
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