Case 216. Syphilitic lymphadenitis (42 y-o M)

　 　 　 　
　
Cervical lymph node biopsied from a febrile man with a high titer of TPHA
 　
　 　 　 　

　

 　 Formation of epithelioid granuloma with Langhans-type giant cells is evident histologically (HE). In this case, the diagnosis of "granulomatous lymphadenitis" is unsatisfactory. Etiological seeking is important, particularly when the possibility of syphilis is clinically not suspected.