title: Acquired toxoplasmosis of a submandibular lymph node in a 9-year-old boy diagnosed by fine-needle aspiration cytology.
abstract: Toxoplasmosis is a parasitic infection which may be asymptomatic or produce lymphadenopathy, fever and malaise. In children the cervical lymph nodes are most commonly affected. This report describes a case of a 9-year-old boy who presented with submandibular lymphadenopathy associated with a non-vital primary tooth, which persisted following extraction of the tooth. A diagnosis of acquired toxoplasmosis was made on the findings of fine-needle aspiration cytology and subsequently confirmed by serological investigations, thus sparing the patient unnecessary hospitalization and surgery. The patient required amitryptyline as a nocturnal sedative and made a complete recovery within a few months without the need for further intervention.
authors.affiliation: Department of Children's Dentistry, Eastman Dental Hospital, London, England.
authors.forename: L V
authors.initials: LV
authors.lastname: Macey-Dare
authors.forename: G
authors.initials: G
authors.lastname: Kocjan
authors.forename: J R
authors.initials: JR
authors.lastname: Goodman
mesh_terms: D001707:Biopsy, Needle; D002648:Child; D003937:Diagnosis, Differential; D004797:Enzyme-Linked Immunosorbent Assay; D006801:Humans; D008198:Lymph Nodes / Q000469:parasitology*; D008206:Lymphatic Diseases / Q000175:diagnosis / Q000469:parasitology*; D008297:Male; D009333:Neck; D019553:Tooth, Nonvital; D014123:Toxoplasmosis / Q000175:diagnosis* / Q000473:pathology