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Toxoplasma lymphadenitis diagnosed by fine-needle aspiration cytology: a rare finding

Published online by Cambridge University Press:  09 June 2014

S Hosokawa ,
Y Kusama ,
T Ono  and
H Mineta
S Hosokawa*
Affiliation:
Department of Otorhinolaryngology/Head and Neck Surgery, Hamamatsu University School of Medicine, Japan
Y Kusama
Affiliation:
Division of Pathology, Hamamatsu University School of Medicine, Japan
T Ono
Affiliation:
Department of Internal Medicine III, Hamamatsu University School of Medicine, Japan
H Mineta
Affiliation:
Department of Otorhinolaryngology/Head and Neck Surgery, Hamamatsu University School of Medicine, Japan
*
Address for correspondence: Dr Seiji Hosokawa, Department of Otorhinolaryngology/Head and Neck Surgery, Hamamatsu University School of Medicine, 1-20-1 Handayama, Higashi-ku, Hamamatsu, Shizuoka 431-3192, Japan Fax: +81 53435 2253 E-mail: seijih@hama-med.ac.jp
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Abstract

Background:

There are only very few reports of cervical toxoplasma lymphadenitis being diagnosed exclusively via fine-needle aspiration cytology (with serology).

Case report:

We describe a case of toxoplasma lymphadenitis that was successfully diagnosed by fine-needle aspiration cytology. The case involved a male patient who was immunocompromised as a result of recurrent acute myelogenous leukaemia with cervical lymphadenopathy. The biopsy showed typical features of a well-defined pseudocyst containing Toxoplasma gondii tachyzoites.

Conclusion:

Toxoplasma lymphadenitis is a common cause of lymph node enlargement. Fine-needle aspiration cytology is a useful method for diagnosing and differentiating toxoplasma lymphadenitis from more serious causes of lymphadenopathy, such as metastatic lymphadenopathy or lymphoma.

Keywords

Toxoplasma gondiiToxoplasmosisCytologyImmunosuppression
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 128 , Issue 6 , June 2014 , pp. 561 - 564
Copyright
Copyright © JLO (1984) Limited 2014 

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