The doctors used a fine needle to draw out what was in the masses to try to understand what was going on. But all they got out was dead tissue debris and immune cells, which wasn’t very helpful. Given the masses, blood clots, and spreading necrotic ulcer, the man was sent to surgery. The doctors surgically removed the ulcer and masses and closed off the clotted veins. They then had to use tissue from the man’s thigh to reconstruct his neck.
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The final diagnosis was necrotizing granulomatous lymphadenitis, which means that clumps of immune cells formed amid inflammation, his lymph nodes became inflamed and swollen, and there
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