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Xpert MTB/RIF was negative for Mycobacterium tuberculosis and histopathology revealed chronic granulomatous inflammation with necrosis.
The etiology of the constrictive pericarditis was granulomatous inflammation.
In the study conducted by Grossl et al, [17] CD4 counts mean in Acute suppurative inflammation, Granulomatous inflammation, Reactive lymph nodes, malignant lymphomas and suspicious for Kaposi sarcoma were 330, 145, 237, 105, 77/mm respectively.
In differential diagnosis, lesions were suggesting a nonspecific inflammatory reaction or granulomatous inflammation or possible lymphoid proliferative disease.
This condition might be explained by the high invasion potential of the non-specific granulomatous inflammation located in the cavernous sinus, superior orbital fissure, or orbital apex.
The hallmark of chronic granulomatous inflammation is granuloma.
It clinically manifests as suppuration, contiguous spread, granulomatous inflammation, and multiple abscess formation, as well as sinus tracts that discharge sulfur granules (9).
Diagnosis of IGM is based on characteristic histological findings, after all possible infectious and non-infectious causes of granulomatous inflammation have been ruled out (1, 4, 9).
Although tuberculosis is also characterised by chronic granulomatous inflammation, in tuberculosis the granulomas tend to be coalescent with necrosis.
Non-neoplastic causes include necrotizing granulomatous inflammation (6.
Cytological examination was compatible with non-necrotizing granulomatous inflammation consisting of neutrophils, lymphocytes, and multinucleated histiocytic giant cells (Figure 1c, d).
Granulomatous inflammation may be found with loosely formed aggregates of multinucleated giant cells.

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