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A misleading appearance of a common disease: tuberculosis with generalized lymphadenopathy—a case report | Journal Article / Case Report/Series | MSF Science Portal
Journal Article
|Case Report/Series

A misleading appearance of a common disease: tuberculosis with generalized lymphadenopathy—a case report

Bottineau MC, Kouevi KA, Chauvet E, Martinez Garcia D, Galetto-Lacour A, Wagner N
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Abstract
INTRODUCTION
Tuberculosis is a common illness for vulnerable populations in resource-limited settings. Lymph nodes in tuberculosis represent the most frequent extra-pulmonary form of tuberculosis in children, but lymph nodes are rarely generalized and large. We report an atypical pediatric case of tuberculosis with lymphadenopathy.

PATIENT CONCERNS AND FINDINGS
A two-year-old child with severe acute malnutrition presented with painless, generalized, and excessively large nodes which were not compressive and were without fistula. Main diagnoses, interventions, outcomes: Fine needle aspiration was performed and led to the detection of lymph node granulomatous lymphadenitis suggestive of tuberculosis.

CONCLUSIONS
The child was immediately initiated on anti-tuberculosis therapy with a very successful outcome. Clinicians should be aware of atypical manifestations such as the one we describe in the interest of swift diagnosis and initiation of treatment.

Countries

Niger

Subject Area

tuberculosispediatricsmalnutritionsevere acute malnutrition

Languages

English
DOI
10.1093/omcr/omz090
Published Date
01 Sep 2019
PubMed ID
31772755
Journal
Oxford Medical Case Reports
Volume | Issue | Pages
Volume 2019, Issue 9, Pages omz090
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