case_images: PMC3068584_01
case_images: Photograph of the patient showing right submandibular swelling (a) Frontal view. (b) Right lateral view
case_images: JGID-3-82-g001.jpg
case_images: PMC3068584_01_JGID-3-82-g001.jpg
case_images: F1
case_images: The deep cervical lymph nodes were palpable on right side (level 2); the biggest being 3 cm x 2cm in size, fixed and hard in consistency [Figure 1].
case_images: CT scan showing right submandibular gland inflammatory swelling
case_images: JGID-3-82-g002.jpg
case_images: PMC3068584_01_JGID-3-82-g002.jpg
case_images: F2
case_images: These findings suggested the possibility of inflammatory etiology-right submandibular sialadinitis [Figure 2].
case_images: Photomicrograph (a) showing granuloma. (May Grunwald Giemsa stain 450x). (b) Chronic sialadenitis (Hematoxylin - Eosin stain 450x)
case_images: JGID-3-82-g003.jpg
case_images: PMC3068584_01_JGID-3-82-g003.jpg
case_images: F3
case_images: These features were suggestive of chronic granulomatous disease, most likely tuberculosis [Figure 3a and b].
case_images: Photograph of the patient after treatment showing complete regression of swelling
case_images: JGID-3-82-g004.jpg
case_images: PMC3068584_01_JGID-3-82-g004.jpg
case_images: F4
case_images: ATT and the swelling completely disappeared [Figure 4]. At 6 months post-ATT follow-up, the patient was asymptomatic without any swelling.
case_images: PMC3068584_02