CERVICAL TUBERCULOUS LYMPHADENITIS IN A CHILD: A CASE REPORT
Tuberculosis (TB) is an infectious disease primarily affecting the lungs, and the most common manifestation of extra-pulmonary tuberculosis is tuberculous lymphadenitis. A healthy 6-year-old female presented with a complaint of an asymptomatic swelling on the right side of her neck with gradual grow...
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| Published in: | Oral surgery, oral medicine, oral pathology and oral radiology Vol. 130; no. 3; p. e145 |
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| Main Authors: | , , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
Elsevier Inc
01-09-2020
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| Online Access: | Get full text |
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| Summary: | Tuberculosis (TB) is an infectious disease primarily affecting the lungs, and the most common manifestation of extra-pulmonary tuberculosis is tuberculous lymphadenitis. A healthy 6-year-old female presented with a complaint of an asymptomatic swelling on the right side of her neck with gradual growth within 20 weeks. Extra-oral examination showed diffuse submandibular lymphadenopathy, erythematous aspect, painful and consistent under palpation and with central fluctuation. Intra-orally, the patient presented with multiple carious lesions. The patient’s CT showed a homogeneous, well-defined, hypodense mass in the submandibular region measuring 2.39 × 2.01 cm leading to the following hypotheses: dentoalveolar abscess, dermoid cyst, and pleomorphic adenoma. The patient was referred to a total lesion exeresis under general anesthesia. Histopathologic results showed lymphoid tissue presenting dense lymphocytes infiltrate, caseous necrosis, and giant multinucleated cells (Langhans type), leading to a final diagnosis of cervical tuberculous lymphadenitis. The patient was immediately transferred to start anti-TB treatment, undergo a chest radiography, and have an HIV test. |
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| ISSN: | 2212-4403 2212-4411 |
| DOI: | 10.1016/j.oooo.2020.04.169 |