A 4-year-old boy was presented to the pediatric department with an 18-month history of progressive swelling in his neck. His parents also informed that he had recently begun snoring. History Extrapulmonary tuberculosis The boy was administered treatment for tuberculosis, but it was unsuccessful. Investigation Physical examination : Lymphadenopathy in the neck and axilla Suppurative nodes in the neck Laboratory workup The results of the laboratory investigations are given below โ Hemoglobin: 7.3 g/dL Platelet count: (1000 ร 10โน per L) Significantly raised erythrocyte sedimentation rate and lactate dehydrogenase levels.
A lymph node biopsy showed granulomatous infiltration with negative infective stains. The results of the CT scan are shown in the cover image. From the above presentation and radiologic findings, can you diagnose the condition? *This case is from the Editorial Team ofโฆ