Case 22

case 22The 21-year-old patient was initially forwarded to a cardiology unit due to dyspnea, tachycardia, fatigue and night fever. These symptoms had been triggered by recent tonsillitis, so the patient was suspected to suffer from septic endocarditis and therefore received intensive antibacterial therapy. Further examination by spiral computed tomography revealed abdominal lymphadenopathy, while no abnormalities were detected by esophagogastroscopy and colonoscopy. Diagnostic laparoscopic biopsy of an affected lymph node was subsequently performed.