A 30-year-old man addressed a doctor with complaints of enlarged submandibular lymph nodes. Anamnesis states that the patient previously had been treated for acute apical periodontitis of the 36th and 46th teeth. Histologically the following could be detected in the removed lymph node: hyperemia, edema, increased amount of plasmocytes and plasmablasts in the medullary area and germinal centers of follicles. What can cause such changes in lymph nodes?

Question

Answer options

Lymphoma
Metastasis of a malignant tumor
Granulomatous inflammation
Antigenic stimulation
Immunodeficiency state

Correct answer

Antigenic stimulation

Explanation

infection in a lower molar, the initial sign of the infection would be in the submandibular nodes; if it were not successfully combated there, it would spread secondarily to the upper deep cervical nodes because submandibular nodes Drain the Mandibular canines, premolars, molars, except for wisdom teeth.

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