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Clinical presentation
A 16-year-old, 41 kg boy with chronic granulomatous disease presented with fever, chills, and diaphoresis. CT showed necrotising mediastinal lymphadenitis and a contracted but otherwise normal gallbladder (figure 1A). The patient was started on intravenous antibiotics and clinically improved. Culture of the lymphadenitis obtained by CT-guided aspiration grew Granulibacter bethesdensis. …
Footnotes
Competing interests None.
Patient consent Obtained from the patient's guardian.
Ethics approval This study was conducted with the approval of the Institutional Review Board of the National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland, USA.
Provenance and peer review Not commissioned; externally peer reviewed.