Journal of Cytology
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CASE REPORT
Year : 2004  |  Volume : 21  |  Issue : 2  |  Page : 93-94

Cytodiagnosis of primary peripheral lymphonodular cryptococcosis - A case report


1 Lecturer, Department of Pathology, Indira Gandhi Medical College, Nagpur, India
2 Senior Lecturer, Department of Pathology, Indira Gandhi Medical College, Nagpur, India
3 Associate Professor, Department of Pathology, Indira Gandhi Medical College, Nagpur, India
4 Professor and Head, Department of Pathology, Indira Gandhi Medical College, Nagpur, India

Correspondence Address:
Ajay A Gangshettiwar
Lecturer in Pathology, Indira Gandhi Medical College, Nagpur
India
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Source of Support: None, Conflict of Interest: None


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Twenty two years male presented with generalised lymphadenopathy, low grade fever, anorexia and weight loss. Clinical diagnosis was lymphoma. X-ray chest, USG abdomen, USG-thorax revealed no significant pathology. Fine Needle Aspiration Cytology performed from cervical and axillary lymph node. H and E, Pap and MGG stained smears revealed numerous, spherical to oval yeast cells with clear haloes around them. Cytodiagnosis of Cryptococcosis was made, which was later confirmed by mucicarmine stain. Later on patient was found to be HIV positive. Cryptococcosis presenting primarily as peripheral lymphadenopathy in the absence of pulmonary or cerebromeningeal involvement is rare. We are reporting this case of primary peripheral lymphonodular cryptococcosis to emphasize the role of FNAC in diagnosing this lesion with minimal complications.


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