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BMJ Case Reports 2018; doi:10.1136/bcr-2018-224745
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An interesting case of lymphadenopathy

  1. Vijay Waman Dhakre3
  1. 1Department of Critical Care, Jaslok Hospital and Research Centre, Mumbai, Maharashtra, India
  2. 2Department of General Medicine, Jaslok Hospital and Research Centre, Mumbai, Maharashtra, India
  3. 3Department of Liver Diseases, Global Institute of Liver Diseases, HPB Surgery and Transplantation, Mumbai, Maharashtra, India
  1. Correspondence to Dr Vijay Waman Dhakre, vddrvijayd{at}gmail.com
  • Accepted 23 April 2018
  • Published 12 May 2018

Description

A 43-year-old man, a known case of diabetes mellitus and hypertension (both well controlled), with no history suggestive of high-risk sexual behaviour, presented with a painless swelling over the left side of the neck since 30 days which was insidious in onset and gradually progressive; fever since 15 days which was of sudden onset, intermittent, relieved with medications and was associated with generalised bodyache; diarrhoea since 3 days which was sudden in onset, foul smelling, watery, non-bloody, 7–8 episodes per day. He had lost 4 kg of weight in 15 days. He was a vegetarian, did not keep cats as pets and was not known to be having an immunocompromised state.

On clinical examination, only the lymph nodes in the posterior triangle of the left side of the neck were palpable. …

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