PMC5476462_01
Axial image from contrast-enhanced CT scan of the neck demonstrates asymmetric thickening of the right aryepiglottic fold (arrow).
gr1.jpg
PMC5476462_01_gr1.jpg
fig1
CT scan of the neck (Fig. 1) showed an enlarged right tonsil with asymmetric thickening of the aryepiglottic fold, the right side of the epiglottis, right tonsillar pillar, and right lingual tonsil.
A: Tonsil biopsy demonstrating numerous granulomas (large red arrowheads) associated with inflammation and multinucleated giant cells (yellow arrowhead) B: DPAS stain highlights numerous intracytoplasmic yeasts, consistent with histoplasmosis (small red arrowheads).(For interpretation of the references to colour in this figure legend, the reader is referred to the web version of this article.)
gr2.jpg
PMC5476462_01_gr2.jpg
fig2
Tonsillar biopsy (Fig. 2A) demonstrated granulomas and multinucleated giant cells with suppurative inflammation. Diastase-resistant periodic acid Schiff (DPAS) stain showed intracytoplasmic yeast forms, consistent with histoplasmosis (Fig. 2B).