Tuberculous disseminated lymphadenopathy in an immunocompetent non-HIV patient: a case report

Abstract

IntroductionIn cases of patients with disseminated lymphadenopathy, the differential diagnosis has to include both benign and malignant causes, including sarcoidosis, metastatic disease, lymphoma and, although rarely present, tuberculosis. Tuberculosis is still one of the most frequently occurring infectious diseases worldwide. However, disseminated mycobacterial lymphadenitis is rare in immunocompetent patients.Case presentationWe present the case of a 56-year-old Caucasian Greek male, who was immunocompetent and HIV negative, with a two-month history of recurring fever, loss of appetite and disseminated lymphadenopathy. The patient was diagnosed with mycobacterial lymphadenopathy.ConclusionThis case highlights the need for suspicion in order to identify mycobacterial infection in patients with generalized lymphadenopathy, since misdiagnosis is possible and may lead to fatal complications for the patient.

Successful Treatment of Cerebral Tuberculoma and Tuberculous Lymphadenitis in an HIV/AIDS Patient: A Case Report

“…2 Lymphadenopathy presents about 2-5% among all cases in Mycobacterium tuberculosis infection of lymphatic tissue, as cervical nodes are the most frequently involved. 3 While the central nervous system (CNS) TB has been reported ten times higher in patients with HIV/ AIDS infection, its mortality exceeds 50%. The focal form of CNS TB could be tuberculoma or an abscess.…”

Tuberculous Adenitis with Concurrent Hodgkin Lymphoma: A Case Report

“…It accounts for between 2% and 5% of all TB cases and is more common among children and immunosuppressed patients, especially those with HIV. 1 , 2 It comprises 43.5% of extrapulmonary TB cases in Qatar. 3 Lymphomas may occasionally mask TB adenitis, particularly in patients with predominant systemic symptoms such as fever, night sweats, and weight loss.…”