2020
DOI: 10.5001/omj.2020.62
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Tuberculous Adenitis with Concurrent Hodgkin Lymphoma: A Case Report

Abstract: The concomitant occurrence of tuberculous adenitis and Hodgkin lymphoma is rare, posing a diagnostic dilemma since both have similar symptoms, such as lymphadenopathy, weight loss, fever, and night sweats. We reported such a case in a 15-year-old girl who presented with fever and neck swelling and was found to have lymphadenopathy. A biopsy of the right supraclavicular lymph node showed Reed-Sternberg cells and stained positive for acid-fast bacilli and tuberculosis culture. The patient was diagnosed with tube… Show more

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Cited by 4 publications
(4 citation statements)
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“…6 Fever, night sweats, and weight loss are symptoms of both TB and HL. 7 In the present case report, we report a difficult rare case of a female patient with HL mimicking TB because of the similarity of clinical and radiological findings. pain, productive cough, and dizziness for 3 days.…”
Section: Introductionmentioning
confidence: 80%
See 1 more Smart Citation
“…6 Fever, night sweats, and weight loss are symptoms of both TB and HL. 7 In the present case report, we report a difficult rare case of a female patient with HL mimicking TB because of the similarity of clinical and radiological findings. pain, productive cough, and dizziness for 3 days.…”
Section: Introductionmentioning
confidence: 80%
“…However, it could be challenging to distinguish between HL and tuberculosis (TB) due to the overlap of clinical symptoms leading to misdiagnosis 6 . Fever, night sweats, and weight loss are symptoms of both TB and HL 7 . In the present case report, we report a difficult rare case of a female patient with HL mimicking TB because of the similarity of clinical and radiological findings.…”
Section: Introductionmentioning
confidence: 87%
“…Though existence of two different disease processes affecting the superficial and deep nodes separately is not impossible, it is practically rare. However, there have been reports of coexistence of malignancy and TB 6. Biopsy of deep nodes was, therefore, a standby plan in case there was no response to ATT.…”
Section: Discussionmentioning
confidence: 99%
“…The safety of the patient had to be safeguarded as such attempts would have a higher risk-benefit ratio. Two different pathologies causing generalised lymphadenitis at the same time was unlikely though not impossible as TB and malignancy are known to coexist 6. A wait-and-watch policy was, therefore, discussed with the patient with an open option of proceeding with abdominal/mediastinal node biopsy in case of inadequate or no response to antitubercular treatment (ATT).…”
Section: Differential Diagnosismentioning
confidence: 99%