Leishmania lymphadenitis diagnosed by fine-needle aspiration biopsy |
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Authors: | Natàlia Tallada MD Antoni Raventós MD Salomé Martinez MD Carme Compañó MD Benito Almirante MD |
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Institution: | Departments of Pathology, Otorhinolaryngology, and Medicine, Ciutat Sanitària Universitària Vail d'Hebrón, Universitat Autònoma de Barcelona, Barcelona, Spain |
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Abstract: | A case of Leishmania lymphadenitis which presented clinically as an isolated left laterocervical lymph node is described. Diagnosis was made by fine-needle aspiration biopsy (FNAB), as in other cases previously reported. The material obtained yielded abundant histiocytes, multinucleated giant cells, and epithelioid micro-granulomas with Leishman-Donovan pathognomic bodies in the cytoplasm of cells, together with free forms of the parasite. This paper comments on the main differential diagnoses to be considered in our region when faced with granulomatous adenitis and the role of FNAB in the identification of this parasite in endemic areas. |
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Keywords: | Leishmaniasis Parasites Granulomatous lymphadenitis Inclusion bodies Leishman-Donovan bodies |
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