American Journal of Medical Case Reports
ISSN (Print): 2374-2151 ISSN (Online): 2374-216X Website: http://www.sciepub.com/journal/ajmcr Editor-in-chief: Samy, I. McFarlane
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American Journal of Medical Case Reports. 2014, 2(12), 288-290
DOI: 10.12691/ajmcr-2-12-8
Open AccessCase Report

Intrathoracic and Intraabdominal Tuberculosis Lymphadenitis without Lung Involvement in an Immunocompetent Patient

Qiyuan Dai1, , Jia Qin2 and Mohamed Abdulla3

1Department of Medicine, SUNY Downstate Medical Center, New York, United States

2Department of Pathology, SUNY Downstate Medical Center, New York, United States

3Department of Pathology, Kings County Hospital Center, New York, United States

Pub. Date: December 11, 2014

Cite this paper:
Qiyuan Dai, Jia Qin and Mohamed Abdulla. Intrathoracic and Intraabdominal Tuberculosis Lymphadenitis without Lung Involvement in an Immunocompetent Patient. American Journal of Medical Case Reports. 2014; 2(12):288-290. doi: 10.12691/ajmcr-2-12-8

Abstract

Extrapulmonary tuberculosis (EPTB) is defined as tuberculosis (TB) affecting organs other than lung. The most common site of EPTB is the lymph node. In adults, lymphadenopathy without a lung parenchymal infiltrate is rare and is usually observed in immunocompromised patients. We report a case of a 53 years old non-immunocompromised women from affected by intrathoracic and intraabdominal tuberculosis lymphadenitis without lung involvement. The patient presented with subacute fever, night sweat, fatigue, anorexia, abdominal pain, and weight loss. The diagnosis was made by the combination of computed tomography (CT) scans and histopathology studies. CT scans showed multiple lymph nodes involvement in the mediastinal and abdominal areas. Histopathology studies showed necrotizing lymphadenitis with positive acid-fast bacilli stain. The patient responded to (rifampin, isoniazid, pyrazinamide, ethambutol) therapy well and was discharged five days after initiating the treatment.

Keywords:
tuberculosis lymphadenitis immunocompetent

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