Diagnosis of Visceral Leishmaniasis by Fine Needle Aspiration Cytology of an Isolated Cervical Lymph Node: Case Report

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.
Renata Beljan1, Dinka [undov1,4, Boris Luk{i}2,4, Violeta [olji}3 and Marina Pilji} Burazer1
1 Institute of Pathology, Forensic Medicine and Cytology, University Hospital Center Split, Split, Croatia
2 Department of Infectious Diseases, University Hospital Center Split, Split, Croatia
3 Department of Pathology, Cytology and Forensic Medicine, University Hospital Mostar, Bosnia and Herzegovina
4 University of Split, School of Medicine, Split, Croatia


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