Mediastinal Tuberculous Lymphadenitis with Periodic Fever.
- Author:
Cheong Won PARK
1
;
Hee Jin CHEONG
;
Joon Young SONG
;
Yu Mi JO
;
Won Suk CHOI
;
Mi Jeong KIM
;
Woo Joo KIM
Author Information
- Publication Type:Case Report
- Keywords: Tuberculous lymphadenitis; Fever of unknown origin; Periodic fever
- MeSH: Antipyretics; Biopsy; Electrons; Fever; Fever of Unknown Origin; Hodgkin Disease; Humans; Inflammation; Mediastinum; Middle Aged; Necrosis; Renal Dialysis; Tuberculosis, Lymph Node
- From: Infection and Chemotherapy 2009;41(3):196-198
- CountryRepublic of Korea
- Language:English
- Abstract: A 60-year-old man undergoing maintenance hemodialysis presented with periodic fever, which resembled Pel-Ebstein fever of Hodgkin's lymphoma. Despite scores of diagnostic evaluations, origin of the fever remained obscure. On positron emission tomography/computed tomography scan, focal hot uptakes were seen in the mediastinum and mediastinoscopic biopsy showed many acid-fast bacilli with chronic granulomatous inflammation and necrosis. After a week of anti-tuberculosis medication, the patient remained afebrile without recourse to antipyretics.
