Sandrino SM, Martínez MM, Wong DLB

Language: Spanish
References: 13
Page: 442-447
PDF size: 179.74 Kb.

ABSTRACT

The case of a 49-year-old patient with a 5-month history of general manifestations such as weight loss and weakness, accompanied by enlargement of the lymph nodes in the neck is presented. The physical examination showed an increased volume in the right lateral cervical lymph nodes, forming a mass of approximately two centimeters, without signs of inflammation. Complementary tests revealed several enlarged nodes; the largest was 16 × 14 mm, hypoechoic and behind the right lobe of the thyroid. The node was removed for pathological study, which found a tuberculous lymphadenitis, highly suggestive of tuberculosis (culture positive for mycobacterium tuberculosis on Lowenstein-Jensen medium). Although tuberculosis is now curable, it is not a solved problem. It is important to maintain surveillance and a certain degree of suspicion regarding lung diseases and those affecting other organs.

REFERENCES

1. Pila Pérez R, Pila Peláez, R, Riveron Núñez A. Holguín Prieto V, Torres Vargas E. Linfadenitis axilar primaria tuberculosa, dificultades en el diagnóstico: presentación de un caso. AMC [revista en Internet]. 2012 [ cited 26 Mar 2014 ] ; 16 (1): [aprox. 7p]. Available from: http://scielo.sld.cu/scielo.php?pid=S1025-025520 12000100012&script=sci_arttext.

2. Durruthy Wilson O, Suazo Valle N, Perón Ortiz D. Linfadenitis de causa tuberculosa: diagnóstico por punción aspirativa con aguja fina. AMC [revista en Internet]. 2011 [ cited 26 Mar 2014 ] ; 15 (6): [aprox. 9p]. Available from: http://scielo.sld.cu/scielo.php?script=sci_arttext& pid=S1025-02552011000600013.

3. Antúnez Baró AO, Palmero Gómez M. Escrófula Tuberculosa. Presentación de un caso. MEDICIEGO [revista en Internet]. 2013 [ cited 26 Mar 2014 ] ; 19 (1): [aprox. 8p]. Available from: http://www.bvs.sld.cu/revistas/mciego/vol19_01_ 13/pdf/T25.pdf.

4. Fernández Muinelo A, Salgado Vázquez M, Núñez Fernández S, Pardo Rojas P, Gómez Lorenzo FJ. Ictericia obstructiva secundaria a tuberculosis ganglionar del hilio hepático. Cirugía Española. 2013 ; 91 (9): 611-12.

5. Sarwar A, Haque AU, Aftab S, Mustafa M, Moatasim A, Siddique S, et al. Spectrum of morphological changes in tuberculous lymphadenitis. Int J Pathol [revista en Internet]. 2004 [ cited 26 Mar 2014 ] ; 2 (2): [aprox. 12p]. Available from: http://www.jpathology.com/Issues/Previous Articles/Volume3/7-Spectrum of Morphological Changes in TB Lymphadenitis.pdf.

6. Lazarus AA, Thilagar B. Tuberculous lymphadenitis. Dis Mon. 2007 ; 53 (1): 10-5.

7. World Health Organization. Tuberculosis Profile [Internet]. Geneva: WHO; 2014. [ cited 26 Mar 2015 ] Available from: https://extranet.who.int/sree/Reports?op=Replet &name=/WHO_HQ_Reports/G2/PROD/EXT/TBCoutryProfile&ISO2=CU&outtype=html.

8. González Martín J, García García JM, Anibarro L, Vidal R, Esteban J, Blanquer R, et al. Consensus document on the diagnosis, treatment and prevention of tuberculosis. Arch Bronconeumol. 2010 ; 46 (5): 255-74.

9. Caraway NP, Katz RL. Lymph Nodes. In: Koss LG, Melamed MR, editors. Kossˈ Diagnostic Cytology and Its Histopathologic Bases. 5th. ed. Philadelphia: JB Lippincott; 2006.

10. Nohrstrom E, Kentala E, Kuusela P, Mattila PS. Tuberculosis of the head and neck in Finland. Acta Otolaryngol. 2007 ; 127 (7): 770-4.

11. Arias Guillén M. Avances en el diagnóstico de la infección tuberculosa. Arch Bronconeumol. 2011 ; 47 (10): 521-30.

12. Grupo de Trabajo de la GPC sobre el Diagnóstico, el Tratamiento y la Prevención de la Tuberculosis. Guía de Práctica Clínica sobre el Diagnóstico, el Tratamiento y la Prevención de la Tuberculosis [Internet]. España: Agència d´Informació, Avaluació i Qualitat en Salut (AIAQS) de Cataluña; 2009. [ cited 26 Mar 2014 ] Available from: http://www.guiasalud.es/egpc/tuberculosis/resum ida/index.html.

13. Grupo de Trabajo de Tuberculosis de las Sociedades Científicas. Plan para la prevención y control de la tuberculosis en España. Arch Bronconeumol. 2009 ; 45 (3): 139-44.