Saxena Susmita, Kumar Sanjeev, Kharbanda Jitin
Department of Oral Pathology, ESIC Dental College, New Delhi, India.
Department of Oral and Maxillofacial Surgery, ITS Dental College, Ghaziabad, Uttar Pradesh, India.
J Oral Maxillofac Pathol. 2018 Jan-Apr;22(1):116-120. doi: 10.4103/jomfp.JOMFP_268_17.
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 was carried out and extremely high level of IgG for toxoplasma was detected confirming the diagnosis of toxoplasmosis leading to lymphadenitis.
一名16岁男性患者因右侧下颌下区肿胀3个月前来就诊。患者无明显症状，在发现肿胀前有持续2天的发热病史。细针穿刺细胞学检查显示为非特异性淋巴结炎，由于在口腔内未发现明显病因或未发现任何全身性疾病，遂将肿大的淋巴结手术切除并送去做组织病理学检查。炎症表现和大量巨噬细胞看似非特异性，未见肉芽肿形成。进行了针对[此处原文缺失具体病原体]的特异性抗体滴度检测，检测到极高水平的弓形虫IgG抗体，确诊为弓形虫病导致的淋巴结炎。
