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  Indian J Med Microbiol
 

Figure 2: (a) Histopathological examination revealed lymphoid tissue showing multiple areas of caseous necrosis, surrounded by epitheloid cells which in turn were surrounded by dense infiltrate of lymphocytes and fibroblasts (×4) (b) Area of caseous necrosis surrounded by epitheloid cells (×10) (c) Multinucleated giant cells with peripherally arranged nuclei suggestive of Langhans giant cells (×40) (d) Ultrasonography revealed multiple enlarged lymph nodes in bilateral submandibular (Level I) and cervical region (Level II–IV)

Figure 2: (a) Histopathological examination revealed lymphoid tissue showing multiple areas of caseous necrosis, surrounded by epitheloid cells which in turn were surrounded by dense infiltrate of lymphocytes and fibroblasts (×4) (b) Area of caseous necrosis surrounded by epitheloid cells (×10) (c) Multinucleated giant cells with peripherally arranged nuclei suggestive of Langhans giant cells (×40) (d) Ultrasonography revealed multiple enlarged lymph nodes in bilateral submandibular (Level I) and cervical region (Level II–IV)