Diagnosis of visceral leishmaniasis by fine needle aspiration cytology of an isolated cervical lymph node: case report.
A 61-year-old woman presented with an isolated, painless, slightly enlarged right laterocervical lymph node without any other signs and symptoms of disease. Laboratory test including hematological and biochemical parameters were normal. A cervical ultrasonography demonstrated one lymph node (10 mm) on the right laterocervical side and one small reactive lymph node on the left laterocervical side. The fine needle aspiration (FNA) smears revealed a polymorphic population of cells composed of lymphocytes, histiocytes, epitheloid cells, plasma cell, tingible body macrophages and macrophages infiltrated with Leishmania amastigotes. Treatment was initiated with Stiboglukonat Na (Pentostam) and led to a full recovery.
Beljan
Renata
R
Institute of Pathology, Forensic Medicine and Cytology, University Hospital Center Split, Split, Croatia. rbeljan@krizine.kbsplit.hr
Sundov
Dinka
D
Luksić
Boris
B
Soljić
Violeta
V
Burazer
Marina Piljić
MP
D044963:Biopsy, Fine-Needle; D004801:Eosine Yellowish-(YS); D005260:Female; D006801:Humans; D007898:Leishmaniasis, Visceral / Q000000981:diagnostic imaging / Q000473:pathology*; D008198:Lymph Nodes / Q000000981:diagnostic imaging / Q000469:parasitology / Q000473:pathology; D008206:Lymphatic Diseases / Q000000981:diagnostic imaging / Q000469:parasitology* / Q000473:pathology*; D008751:Methylene Blue; D008875:Middle Aged; D009333:Neck; D014463:Ultrasonography
C043260:May-Grunwald Giemsa; D008751:Methylene Blue; D004801:Eosine Yellowish-(YS)