PMC10328179_01
Hematoxylin and eosin-stained photomicrograph showing epithelioid cell granulomas with central caseation (blue arrows) and Langhans type of multinucleated giant cells (green arrows) 100x original magnification.
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While the GeneXpert results were negative, the histopathological studies of the ovary, endometrium, and fallopian tube revealed numerous caseating granulomatous inflammation with Langhans-type multinucleated giant cells (Figure 1).
Ziehl-Neelsen histochemical staining photomicrograph of fallopian tube demonstrating foamy macrophages packed with AFB bacteria organisms (blue arrows); 200x original magnification.
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Ziehl-Neelsen staining confirmed the presence of acid-fast bacilli (AFB) (Figure 2).