1997 Volume 43 Issue 6 Pages 505-507
We report a case of atypical necrotizing lymphadenitis. Necrotizing lymphadenitis has a characteristic clinical pattern of lymphadenopathy of the neck, tenderness of the lymph nodes, fever, and leukopenia. The patient was a 25-year-old man, complaining of only multiple lymphadenopathy in the submental and submandibular regions. The clinical diagnosis was a strong suspicion of tuberculous lymphadenitis or toxoplasmic lymphadenitis because of a positive tuberculin reaction and an elevated antibody titer to Toxoplasma. These lymph nodes were excised and necrotizing lymphadenitis was diagnosed histopathologically and immunohistochemically.