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Bem C. Human immunodeficiency virus-positive tuberculous lymphadenitis in Central Africa: clinical presentation of 157 cases. The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease 1997; 1: 215-9.

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Article

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

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


American Journal of Medical Case Reports. 2014, Vol. 2 No. 12, 288-290
DOI: 10.12691/ajmcr-2-12-8
Copyright © 2014 Science and Education Publishing

Cite this paper:
Qiyuan Dai, Jia Qin, 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.

Correspondence to: Qiyuan  Dai, Department of Medicine, SUNY Downstate Medical Center, New York, United States. Email: qiyuandai@hotmail.com

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.

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