Case 1 was a 69-year-old male, who suffered from remittent fever and cervical lymph node swelling after total laryngectomy. Case 2 was an 18-year-old female, who had had left cervical tenderness and remittent fever for one month. Biopsies in cervical lymph nodes showed massive necrotic lesions which consisted of proliferations of small lymphocytes and nuclear debris in some macrophages without neutrophile infiltration. The infections were resistant to antibiotics. Neck dissection in case 1 and steroid treatment in case 2 brought about cure.
