A case of Simultaneous Tuberculous Lymphadenitis and Pleurisy a Young Man from Indonesia

Abstract

Tuberculous lymphadenitis is the most common form of extrapulmonary tuberculosis. It is frequently encountered in the cervical region lymph nodes. Excisional biopsy of the involved lymph node, staining of the biopsy material with stains used for the detection of acid-fast bacilli, and mycobacterial culture are used for the diagnosis. We report here on a 22-year-old male patient who was admitted to the internal medicine outpatient clinic with a 1 week history of swelling on the right side of his neck and accompanying chest pain with breathing. The patient's physical examination documented a non-tender swelling of approximately 3 cm size on the right side of his neck. Fine-needle aspiration biopsy of the node evaluated for causes of necrotizing granulomatous infections with tuberculosis at the forefront. A right-sided pleural effusion (7 cm deep) was detected in the thorax computed tomography examination. The patient was started antituberculous treatment. Following 6 months, the patient's complaints regressed, he was in good health.

Keywords

• cervical tuberculous lymphadenitis
• fine-needle biopsy
• necrotizing granulomatous infections.