TY - JOUR
T1 - Tuberculous mediastinal lymphadenopathy in an adult
AU - Iyengar, Keerthi B.
AU - Kudru, Chandrashekar Udyavara
AU - Nagiri, Shivashankara Kaniyoor
AU - Rao, Anuradha C.K.
PY - 2014/1/13
Y1 - 2014/1/13
N2 - We describe a patient who presented to us with fever, decreased appetite, weight loss and dry cough for 1 month with no abnormalities on examination. A chest radiograph showed a mediastinal shadow. CT of the chest revealed multiple mediastinal lymph nodes. Bronchoalveolar lavage was negative for acid-fast bacilli and cytological examination did not show malignant cells. Serum ACE levels were high (93 U/L). Bone marrow aspiration and biopsy did not reveal any pathology. Mediastinoscopy-guided mediastinal lymph node biopsy showed features of granulomatous lymphadenitis. This case report summarises an unusual presentation of tuberculosis in an adult.
AB - We describe a patient who presented to us with fever, decreased appetite, weight loss and dry cough for 1 month with no abnormalities on examination. A chest radiograph showed a mediastinal shadow. CT of the chest revealed multiple mediastinal lymph nodes. Bronchoalveolar lavage was negative for acid-fast bacilli and cytological examination did not show malignant cells. Serum ACE levels were high (93 U/L). Bone marrow aspiration and biopsy did not reveal any pathology. Mediastinoscopy-guided mediastinal lymph node biopsy showed features of granulomatous lymphadenitis. This case report summarises an unusual presentation of tuberculosis in an adult.
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U2 - 10.1136/bcr-2013-200718
DO - 10.1136/bcr-2013-200718
M3 - Article
AN - SCOPUS:84893213260
SN - 1757-790X
JO - BMJ Case Reports
JF - BMJ Case Reports
ER -
