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

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