RESUMEN
Filariasis is endemic worldwide in the tropical areas. It is not uncommon in India. It is commonly presents as lymphadenopathy limited to groin and femoral triangle or as filarial lymphoedema of lower limbs but presenting features as generalized lymphadenopathy is very rare. Conventional diagnostic procedures include the demonstration of microfilaria in the blood smears but in our case it was diagnosed even in FNAC and confirmed with excision biopsy of lymph node. Microfilaria may be missed if you are not aware of the possibility, particularly in cases where tissue eosinophilia is absent. The purpose of this paper is to aware surgeons to keep in mind the rare differential diagnosis of this uncommon entity while treating a case of generalised lymphadenopathy.
RESUMEN
We experienced a case of cryptococcosis in a 13-year-old female who had been admitted to our hospital because of intermittent high fever and generalized lymphadenopathy accompanied by multiple nodular eruptions with erosions on the face, scalp, neck and back. The patient was treated under the impression of tuberculous lymphadenitis without any improvement. A surgical biopsy of the lymph node and the subcutaneous nodule, which was performed 14 days later, revealed chronic granulomatous tissue and Langhan's type giant cells which contained numerous cryptococci. A brief review of the literature was done.