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

Autor: Karadonta Argiroula-Vasiliki, Ioannou Maria, Kostikas Konstantinos, Papala Maria, Gerogianni Irini, Gourgoulianis Konstantinos
Jazyk: angličtina
Rok vydání: 2009
Předmět:
Zdroj: Journal of Medical Case Reports, Vol 3, Iss 1, p 9316 (2009)
Druh dokumentu: article
ISSN: 1752-1947
DOI: 10.1186/1752-1947-3-9316
Popis: Abstract Introduction In 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 presentation We 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. Conclusion This 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.
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