PMC4435753_01
(A) Contrast enhanced CT on day +70 after HSCT presented right cervical lymph nodes enlargement with central necrosis. (B) Highresolution chest CT revealed old pulmonary scar lesions with pleural thickening in the right upper lobe.
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At admission, a contrast-enhanced computed tomography (CT) showed right laterocervical lymph node enlargement (Figure 1A) and a high-resolution chest CT revealed old pulmonary scar lesions in the right upper lobe but no signs of active infection (Figure 1B).
Cervical lymph node biopsy wound on day +90 with purulent suppuration.
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On day +90, fever was noted again, and the biopsy wound presented purulent suppuration (Figure 2), which was sent for culture.
Haematoxylin and eosin stain of the lymph node showed granuloma formations with necrosis.
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Histologic exam of a second biopsy showed caseating granulomas (Figure 3).