Hostname: page-component-6766d58669-l4t7p Total loading time: 0 Render date: 2026-05-18T00:50:28.381Z Has data issue: false hasContentIssue false
  • English
  • Français

Toxoplasma lymphadenitis diagnosed by fine-needle aspiration cytology: a rare finding

Published online by Cambridge University Press:  09 June 2014

S Hosokawa ,
Y Kusama ,
T Ono  and
H Mineta
S Hosokawa*
Affiliation:
Department of Otorhinolaryngology/Head and Neck Surgery, Hamamatsu University School of Medicine, Japan
Y Kusama
Affiliation:
Division of Pathology, Hamamatsu University School of Medicine, Japan
T Ono
Affiliation:
Department of Internal Medicine III, Hamamatsu University School of Medicine, Japan
H Mineta
Affiliation:
Department of Otorhinolaryngology/Head and Neck Surgery, Hamamatsu University School of Medicine, Japan
*
Address for correspondence: Dr Seiji Hosokawa, Department of Otorhinolaryngology/Head and Neck Surgery, Hamamatsu University School of Medicine, 1-20-1 Handayama, Higashi-ku, Hamamatsu, Shizuoka 431-3192, Japan Fax: +81 53435 2253 E-mail: seijih@hama-med.ac.jp
Get access Rights & Permissions [Opens in a new window]

Abstract

Background:

There are only very few reports of cervical toxoplasma lymphadenitis being diagnosed exclusively via fine-needle aspiration cytology (with serology).

Case report:

We describe a case of toxoplasma lymphadenitis that was successfully diagnosed by fine-needle aspiration cytology. The case involved a male patient who was immunocompromised as a result of recurrent acute myelogenous leukaemia with cervical lymphadenopathy. The biopsy showed typical features of a well-defined pseudocyst containing Toxoplasma gondii tachyzoites.

Conclusion:

Toxoplasma lymphadenitis is a common cause of lymph node enlargement. Fine-needle aspiration cytology is a useful method for diagnosing and differentiating toxoplasma lymphadenitis from more serious causes of lymphadenopathy, such as metastatic lymphadenopathy or lymphoma.

Keywords

Toxoplasma gondiiToxoplasmosisCytologyImmunosuppression

Information

Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 128 , Issue 6 , June 2014 , pp. 561 - 564
Copyright
Copyright © JLO (1984) Limited 2014 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

References

1Kieffer, F, Wallon, M. Congenital toxoplasmosis. Handb Clin Neurol 2013;112:1099–101CrossRefGoogle ScholarPubMed
2Chen, X, Remotti, F, Tong, GX, Gorczyca, E, Hamele, BD. Fine needle aspiration cytology of subcutaneous toxoplasmosis: A case report. Diagn Cytopathol 2010;38:716–20Google Scholar
3Markell, EK, John, DT, Krotoski, WA, eds. Markell and Voge's Medical Parasitology. 8th edn.Philadelphia: WB Saunders, 1999:161–171Google Scholar
4Jayaram, N, Ramaprasad, AV, Chethan, M, Sujay, AR. Toxoplasma lymphadenitis: Analysis of cytologic and histopathologic criteria and correlation with serologic tests. Acta Cytol 1997;41:653–8CrossRefGoogle ScholarPubMed
5Pathan, SK, Francis, IM, Das, DK, Mallik, MK, Sheikh, ZA, Hira, PR. Fine needle cytologic diagnosis of toxoplasma lymphadenitis: A case report with detection of Toxoplasma bradycyst in a Papanicolaou stained smear. Acta Cytol 2003;47:299–303Google Scholar
6Zaharopoulos, P. Demonstration of parasites in toxoplasma lymphadenitis by fine needle aspiration cytology: Report of two cases. Diagn Cytopathol 2000;22:11–15Google Scholar
7Viguer, JM, Jiménez-Heffernan, JA, López-Ferrer, P, González-Peramato, P, Vicandi, B. Fine needle aspiration of toxoplasma lymphadenitis: A cytohistologic correlation. Acta Cytol 2005;49:139–43CrossRefGoogle ScholarPubMed
8Argyle, JC, Schumann, GB, Kjeldsberg, CR, Athens, JW. Identification of toxoplasma cyst by FNA. Am J Clin Pathol 1983;80:256–8CrossRefGoogle Scholar
9Al Adnani, MS, Badawi, SR, Thorburn, H, Rao, VK. Immunohistochemical localization of toxoplasma antigen in reactive and neoplastic lymph nodes. Neoplasma 1984;31:51–6Google Scholar