Isolated tuberculous inguinal lymphadenopathy: a diagnostic challenge

Vagholkar, Ketan; Pawanarkar, Amish; Vagholkar, Suvarna; Iyengar, Madhavan; Pathan, Shamshershah; Patel, Adil

doi:10.18203/2320-6012.ijrms20160733

Cited by 2 publications

(3 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Isolated inguinal tuberculous lymphadenitis is rare, accounting for 4-8 % of tuberculous lymph nodes. 6,14 Further, tuberculous infection of the inguinal lymph node is usually associated with cutaneous TB (scrofuloderma or lupus vulgaris). Primary or isolated inguinal lymphadenopathy without such association is an extremely rare presentation.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Incidental Inguinal Tubercular Lymphadenitis in a female of Androgen Insensivity Syndrome- A rarest of rare presentation

et al. 2023

View full text Add to dashboard Cite

Androgen insensitivity syndrome (AIS) is a rare X-linked recessive disorder occurring in phenotypic women with male genotype (46, XY) resulting due to mutation in the X chromosome. On the other hand, tuberculosis (TB) is a chronic granulomatous infection caused by Mycobacterium tuberculosis, an acid-fast bacillus. We report a case of a 22-year-old unmarried female presenting with bilateral inguinal pain and primary amenorrhea, which, on comprehensive evaluation, revealed complete female external genitalia and intra-abdominal testes. The karyotype was 46 XY, hence a diagnosis of complete AIS was made. One of the ‘probable testes’ removed surgically was an inguinal lymph node with tuberculous lymphadenitis. Isolated inguinal tuberculous lymphadenopathy, by itself, is rare. Co-occurrence of Complete AIS and inguinal tuberculous lymphadenopathy is a highly unusual and rare association that has not been documented in the literature reviewed.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Tuberculous lymphadenitis is, however, rarely seen in inguinal lymph nodes. 6 Also, when involved, they are associated with scrofuloderma or lupus vulgaris. Primary, isolated inguinal lymphadenopathy with no association with scrofuloderma or lupus vulgaris is an extremely rare presentation of tuberculous lymphadenitis.…”

Section: Introductionmentioning

confidence: 99%

Incidental Inguinal Tubercular Lymphadenitis in a female of Androgen Insensivity Syndrome- A rarest of rare presentation

et al. 2023

View full text Add to dashboard Cite

show abstract

“…Kelompok limfa node yang paling sering terlibat adalah regio servikal (75%-90%), aksila (14%-20%), dan inguinal (4%-8%). 2,11 Patogenesis limfadenitis TB regio inguinal masih belum jelas, dua hipotesis menjelaskan kemungkinan diseminasi hematogen dari fokus paru subklinis atau keterlibatan sekunder limfa node inguinal dari penyebaran limfatik dari endosalpinx sekitar ligamen. 3,12 Konfirmasi diagnosis yang terbaik adalah melalui open biopsy untuk eksplorasi dan pemeriksaan histopatologi.…”

Section: Kasusunclassified

Drug Induced Hepatitis pada Tuberkulosis Paru dengan Multisite Tuberkulosis Ekstraparu

Wesnawa

Kusmiati

2020

View full text Add to dashboard Cite

Background: Tuberculosis (TB) continues to be a major health problem in developing country. Lung is the most common site for Mycobacterium tuberculosis (MTB) infection, but dissemination may occur to any part of the body resulting in extrapulmonary TB. Hepatotoxicity is one of the most frequent adverse events that occur during TB treatment. Case: A 35-year-old female patient came with cough, dyspnea, fever, abdominal pain, history of mass in right inguinal lymph node, and malnutrition. Histopathology from excisional biopsy of inguinal lymph node showed granulomatous inflammation. Computed tomography of abdomen showed intraabdominal TB. Chest X-ray showed right pleural effusion, with exudate pleural fluid and mononuclear dominant. After 1 week consuming antituberculous drug, patient got nausea and vommiting, increased of ALT and AST, total and direct bilirubin. Antituberculous drug was stopped and switched to levofloxacin, ethambutol, and streptomycin. After clinical improvement and liver function return to normal, desensitization of rifampicin and isoniazide was started. Desensitization started with rifampicin for three days, and followed with isoniazide for three days. In total, the patient got rifampicin, isoniazide, and ethambutol for 9 months. Evaluation of treatments are clinical improvement and weight gain. Acid fast baccili sputum was negatif, no pleural effusion on chest X-ray, and normal abdominal ultrasound. Conclusion: MTB can spread to other organs which cause multisite extrapulmonary TB. Side effect can occur during TB treament, and this is not the reason to stop the therapy. Individual ATD therapy shows good response in this case.

show abstract

Isolated tuberculous inguinal lymphadenopathy: a diagnostic challenge

Cited by 2 publications

References 4 publications

Incidental Inguinal Tubercular Lymphadenitis in a female of Androgen Insensivity Syndrome- A rarest of rare presentation

Incidental Inguinal Tubercular Lymphadenitis in a female of Androgen Insensivity Syndrome- A rarest of rare presentation

Drug Induced Hepatitis pada Tuberkulosis Paru dengan Multisite Tuberkulosis Ekstraparu

Contact Info

Product

Resources

About