MICROSCOPIC DESCRIPTION: Chronically inflamed and fibrotic salivary gland parenchyma with a single non-necrotising granuloma. No mycobacteria are identified.
DIAGNOSIS:
Chronic fibrosing sialadenitis and non-necrotising granulomatous inflammation. Features suggestive of sarcoidosis.
MYCOBACTERIAL INVESTIGATIONS
Left submandibular lymph node core biopsy
MICROSCOPY Auramine-Rhodamine stain: No acid fast bacilli detected
MYCOBACTERIUM CULTURE SCREEN MGIT bottle: <56 days negative
MYCOBACTERIAL CULTURE: No growth after 8 weeks