Giant Cervical Tuberculous Lymphadenitis: Case Report

Yıl 2023, Cilt: 5 Sayı: 1, 28 - 30, 30.04.2023

Oya Güven , Lale Tuna , Süleyman Hilmi Konar , Leyla Pasayeva , Bedriye Feyza Kurt

https://doi.org/10.55994/ejcc.1220553

Öz

Objective: Tuberculosis (TB) is still a significant public health problem in developing and developed countries. Tuberculous lymphadenitis is the most common form of TB among extrapulmonary TB patients. Cervical region lesions can be confused with other lymphadenopathy diseases, making diagnosis difficult.
Case report: A 26-year-old male patient with no known disease presented to our Emergency Service with complaints of swelling on his neck that had been growing steadily for several weeks. Tuberculosis bacillus was detected when a lymph node biopsy was taken and examined from the patient, whose lymphadenitis was thought to be in the foreground.
Conclusion: This article aims to emphasize that tuberculosis infection, which is a specific infectious agent, should be considered in the differential diagnosis of the case presenting with cervical swelling. The diagnosis can be made quickly with a simple and inexpensive imaging method such as ultrasound.

Anahtar Kelimeler

Tuberculous, Giant, Cervical Lymphadenitis, Ultrasound, Emergency Department

Kaynakça

• Referans1 Peto HM, Pratt RH, Harrington TA, Lo Bue PA, Armstrong LR. Epidemiology of extrapulmonary tuberculosis in the United States, 1993–2006. Clin Infect Dis. 2009; 49: 1350–1357.
• Referans2 Anna Lyn Corneja -Egwolf, Chhaya Suresh, Ma. Rosella Espinar. Role of ultrasound in the diagnosis of extrapulmonary TB: An overview. TB Corner. 2016; 2 (4): 1-10
• Referans3 Ying M, Ahuja AT, Evans R, King W, Metreveli C. Cervical lymphadenopathy: sonographic differentiation between tuberculous nodes and nodal metastases from non-head and neck carcinomas. J ClinUltrasound. 1998 Oct;26(8):383-9
• Referans4 Powell DA. Lymphadenitis in Tuberculosis. In: Schlossberg D. editor. Springer-Verlag, New York: 1994. p. 113-20
• Referans5 Koç C, Akyol MU, Özdem C. Boyun kitleleri. Ankara Üniversitesi Tıp Fakültesi Mecmuası.1995; 48(2).
• Referans6 Bilgiç H. Tüberküloz Epidemiyolojisi. In: Kocabaş A editor. Tüberküloz Kliniği ve Kontrolü. Adana: Çukurova Üniversitesi Basımevi; 1991. p. 401-37.
• Referans7 Kundakçı N, Taşpınar A. Lepra ve diğer mikobakteriyel deri infeksiyonları: Deri tüberkülozları. In: Topçu AW, Söyletir G, Doğanay M, editors. İnfeksiyon Hastalıkları. Nobel Tıp Kitabevleri; 1996. p. 803-17.
• Referans8 Gautam H, Agrawal SK, Verma SK, Singh UB. Cervical tuberculous lymphadenitis: Clinical profile and diagnostic modalities. Int J Mycobacteriol. 2018 Jul-Sep; 7(3):212-216.
• Referans9 Hacıevliyagil SS, Mutlu LC, Duran M, Kızkın Ö, Temiz Ş, Evliyaoğlu E, et.al. Akciğer Dışı Tüberkülozda Tanı Konma Süresi. İzmir Göğüs Hastanesi Dergisi. 20(2), 33-40.