2.Severe Paradoxical Reaction Requiring Tracheostomy in a Human Immunodeficiency Virus (HIV)-negative Patient with Cervical Lymph Node Tuberculosis.
In Suh PARK ; Dongwook SON ; Chanwoo LEE ; Jae Eun PARK ; Jin Soo LEE ; Moon Hyun CHEONG ; Young Mo KIM
Yonsei Medical Journal 2008;49(5):853-856
During drug treatment of tuberculous lymphadenitis, paradoxical response (PR) may occasionally occur. Continued treatment or lymph node aspiration improves PR without severe sequelae. However, we report a case of severe PR in a patient with cervical lymph node tuberculosis causing airway obstruction due to retropharyngeal lymph node swelling during antituberculous treatment. Tracheostomy and drainage of the node were performed to secure the airway. Possible airway obstruction due to PR must be suspected when cervical lymph node tuberculosis involves the retropharyngeal lymph node.
Adult
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Female
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*HIV Seronegativity
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Humans
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Tomography, X-Ray Computed
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*Tracheostomy
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Tuberculosis, Lymph Node/*complications/radiography/surgery
3.A case of extra-hepatic portal hypertension caused by periportal tuberculous lymphadenitis.
Cheol Whan LEE ; Yung Sang LEE ; Goo Yeong CHO ; Ju Young KIM ; Young Il MIN
Journal of Korean Medical Science 1994;9(3):264-267
This report describes a case of portal hypertension caused by periportal tuberculous lymphadenitis. There were a few reports of portal hypertension associated with tuberculosis. A 27-year-old man was admitted to the hospital because of recurrent hematemesis for 7 days. There was a history of mediastinal tuberculous lymphadenitis 3 years earlier that was treated with isoniazide, rifampin, ethambutol, and pyrazinamide for 2 years. Clinical evaluation revealed esophageal variceal bleeding and main portal vein obstruction by enlarged periportal lymph nodes. The patient underwent distal splenorenal shunt. Pathologic examination of the excised periportal lymph node revealed chronic granulomatous inflammation with central caseous necrosis. Thereafter the patient took antituberculous medication for 12 months. The patient has not re-bled 3 years since the shunt operation.
Adult
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Case Report
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Human
;
Hypertension, Portal/*etiology/therapy
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Male
;
Tuberculosis, Lymph Node/*complications
4.Supraclavicular lymph node tuberculosis presenting with immune thrombocytopenic purpura.
Hua LU ; Yong-ren WANG ; Ou JI ; Wei XU ; Jian-fu ZHANG ; Qin-he FAN ; Jian-yong LI
Chinese Medical Journal 2007;120(19):1730-1731
5.Multiple oesophago-respiratory fistulae: sequelae of pulmonary tuberculosis in retroviral infection.
Soo Fin LOW ; Chai Soon NGIU ; Erica Yee HING ; Norzailin Abu BAKAR
Singapore medical journal 2014;55(7):e104-6
Pulmonary tuberculosis (PTB) is a common infectious disease worldwide. However, mediastinal tuberculous lymphadenitis complicated by oesophageal involvement and oesophago-respiratory fistula is now uncommon due to improved anti-tuberculous regimes and better general awareness. The overall incidence of acquired oesophago-respiratory fistula due to infection is low, and therefore, the lesion is not often a frontrunner in differential diagnosis. Still, tuberculous oesophago-respiratory fistulae can potentially occur in patients with retroviral disease, as they tend to have atypical and more virulent manifestations. In this study, we report the case of multiple oesophago-respiratory fistulae in a patient with PTB and retroviral disease, and highlight the computed tomography features of these lesions as an atypical presentation of PTB in retroviral disease. Clinicians should suspect oesophago-respiratory fistulae if patients present with Ono’s sign, and remain particularly vigilant for patients with underlying PTB and retroviral disease, as early diagnosis and treatment could help to reduce mortality.
Adult
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Diagnosis, Differential
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Esophagus
;
physiopathology
;
Fistula
;
diagnosis
;
Humans
;
Lung
;
pathology
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Male
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Radiography, Thoracic
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Retroviridae
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metabolism
;
Tomography, X-Ray Computed
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Trachea
;
physiopathology
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Treatment Outcome
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Tuberculosis, Lymph Node
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Tuberculosis, Pulmonary
;
complications
;
diagnosis
6.Dysphagia due to mediastinal tuberculous lymphadenitis presenting as an esophageal submucosal tumor: a case report.
Seung Ho PARK ; Jun Pyo CHUNG ; In Jae KIM ; Hyo Jin PARK ; Kwan Sik LEE ; Chae Yoon CHON ; In Suh PARK ; Ki Whang KIM ; Doo Yun LEE
Yonsei Medical Journal 1995;36(4):386-391
Mediastinal tuberculous lymphadenitis is rare in adults, and it is even rarer for dysphagia to be the presenting symptom of mediastinal tuberculous lymphadenitis. Mediastinal tuberculous lymphadenitis with esophageal symptoms has been presented as esophageal ulceration, mucosal or submucosal mass with ulceration, fistula or sinus formation, extrinsic compression, or displacement of the esophagus. An exaggerated form of extrinsic compression may be presented as a submucosal tumor, radiologically or endoscopically. A barium esophagography of a 34 year-old woman with painful dysphagia revealed a large submucosal tumor-like mass on the mid-esophagus. The symptom was spontaneously improved over a 3-week period together with reduction of the mass size. A computed tomography of the chest disclosed an enlarged subcarinal lymph node and histologic examination of the specimen obtained by thoracoscopic biopsy brought about a diagnosis of tuberculosis. We herein report a case of mediastinal tuberculosis with unusual manifestations.
Adult
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Case Report
;
Deglutition Disorders/*etiology
;
Diagnosis, Differential
;
Esophageal Neoplasms/*diagnosis
;
Esophagoscopy
;
Esophagus/pathology/radiography
;
Female
;
Human
;
Mediastinal Diseases/*complications/*diagnosis
;
Radiography, Thoracic
;
Tomography, X-Ray Computed
;
Tuberculosis, Lymph Node/*complications/*diagnosis