13 year old boy. Anamnesis without indication of tubercular illness in the family. Father and 6 siblings are alive and healthy, mother died from a malignant tumor.
Patient had pox in early childhood, no disease otherwise.
First attack of the tumescence about 7 months prior in the lymph gland on the left side of the neck, without any external cause.
Apparently pure - i.e. not associated with splenetic tumor - case of lymphatic pseudoleukemia. The most significant glandular swelling is found in the left side of the neck, where it formed a large coarse tubercular packet that can be shifted under the skin, and, as the illustration shows, even pushes up the lower part of the ear with the ear lobe. In the right side of the neck are found cherry pit to walnut sized nodes strewn over the lateral and ventral neck region and the upper fossa of the collar bone. A chicken egg sized glandular packet fills out the right axilla, while in the left axilla region, as the figure also shows, an even more pronounced glandular swelling can be found which reaches from under the lower margin of the pectoralis major and pushes it up. Examination of the blood resulted:
Nothing microscopically noteworthy of the blood cells.