PMC3068584_01
Photograph of the patient showing right submandibular swelling (a) Frontal view. (b) Right lateral view
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F1
The deep cervical lymph nodes were palpable on right side (level 2); the biggest being 3 cm x 2cm in size, fixed and hard in consistency [Figure 1].
CT scan showing right submandibular gland inflammatory swelling
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F2
These findings suggested the possibility of inflammatory etiology-right submandibular sialadinitis [Figure 2].
Photomicrograph (a) showing granuloma. (May Grunwald Giemsa stain 450x). (b) Chronic sialadenitis (Hematoxylin - Eosin stain 450x)
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F3
These features were suggestive of chronic granulomatous disease, most likely tuberculosis [Figure 3a and b].
Photograph of the patient after treatment showing complete regression of swelling
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F4
ATT and the swelling completely disappeared [Figure 4]. At 6 months post-ATT follow-up, the patient was asymptomatic without any swelling.
PMC3068584_02