title: Diagnosis of visceral leishmaniasis by fine needle aspiration cytology of an isolated cervical lymph node: case report.
abstract: 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.
authors.affiliation: Institute of Pathology, Forensic Medicine and Cytology, University Hospital Center Split, Split, Croatia. rbeljan@krizine.kbsplit.hr
authors.forename: Renata
authors.initials: R
authors.lastname: Beljan
authors.forename: Dinka
authors.initials: D
authors.lastname: Sundov
authors.forename: Boris
authors.initials: B
authors.lastname: Luksić
authors.forename: Violeta
authors.initials: V
authors.lastname: Soljić
authors.forename: Marina Piljić
authors.initials: MP
authors.lastname: Burazer
mesh_terms: 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
chemical_list: C043260:May-Grunwald Giemsa; D008751:Methylene Blue; D004801:Eosine Yellowish-(YS)