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A 33 years old male human immunodeficiency virus (HIV) positive patient on antiretroviral therapy developed caseating granulomatous inflammation of lymph nodes. He did not respond to antituberculous treatment. Subsequently, he developed gastrointestinal tract lesions. Special stains show positivity for histoplasmosis. The case is presented because of its resemblance to tuberculosis.

Caseating Granulomatous Inflammation: Think beyond Tuberculosis