The fungoid stage involves extensive caseation and granulation tissue formation, causing obliteration of the tendon and sheath with formation of sinus tracts and a cold abscess
of patients Splenomegaly 23 (100) Hepatomegaly 13 (50) Cervical LN 11 (42) Ascites 6 (23) Cold abscess
6 (23) Pleural effusion 5 (19) Choroidal tubercle 1 (4) Table III.
Caseation may occur in microscopic foci within the granulomas, or areas of necrosis may coalesce, forming a cold abscess
, particularly when the immunity is high.