Ganglionic tuberculosis as a presentation of extrapulmonary tuberculosis

Authors

  • José Abel García Acosta Misión médica cubana en Mozambique. Hospital Central de Nampula, Mozambique.

Keywords:

Tuberculosis extrapulmonar, Síndrome adénico.

Abstract

Introduction: tuberculosis is an infectious disease caused by Mycobacterium tuberculosis. This disease is a problem of considerable magnitude in many parts of the world, especially in developing countries. Ganglionic tuberculosis is one of the extrapulmonary clinical presentations of this disease, and the clinical manifestations depend on the location of the compromised ganglion, the most common site is the neck, usually with mediastinal repercussion as a secondary element.
Case Report: a young adult attends to the outpatient office presenting general manifestations from a month ago, given by weakness, malaise, febrile episodes, weight loss of 2.5 kg in two weeks, and poor appetite; a few days before visiting the doctor the patient noticed an increased of volume in the neck, appearing several lymph nodes at that level. The patient denies having expectoration and shortness of breath during this time.
Conclusions: ganglionic extrapulmonary tuberculosis should be suspected in response to the appearance of lymph nodes, following the elements of clinical-epidemiological and microbiological diagnosis aimed at initiating the specific treatment as quickly as it can, achieving results to cure the disease as it is recommended by the World Health Organization.

Downloads

Download data is not yet available.

Author Biography

José Abel García Acosta, Misión médica cubana en Mozambique. Hospital Central de Nampula, Mozambique.

Especialista de Primer Grado en Medicina Interna. Máster en Urgencias Médicas. Diplomado en Cuidados Intensivos.

References

1. Lin CH, Lin CJ, Kuo YW, Wang JY, Hsu CL, Chen JM, Cheng WC, Lee LN. Tuberculosis mortality: patient characteristics and causes.BMC Infect Dis. 2014 Jan 3;14:5. doi: 10.1186/1471-2334-14-5.

2. Garcia-Monco JC. Tuberculosis. Handb Clin Neurol. 2014; 121:1485-99.

3. Karstaedt AS. Extrapulmonary tuberculosis among adults: experience at Chris Hani Baragwanath Academic Hospital, Johannesburg, South Africa. S Afr Med J. 2013 Oct 11;104(1):22-4.

4. Behr MA, Waters WR. Is tuberculosis a lymphatic disease with a pulmonary portal? Lancet Infect Dis. 2014 Mar;14(3):250-5.

5. Gomes T, Vinhas SA, Reis-Santos B, Palaci M, Peres RL, Aguiar PP, et al. Extrapulmonary tuberculosis: Mycobacterium tuberculosis strains and host risk factors in a large urban setting in Brazil. PLoS One. 2013 Oct 2;8(10): e74517.

6. Sevgi DY, Derin O, Alpay AS, Gündüz A, Konuklar AS, Bayraktar B, Bulut E, Uzun N, Sonmez E. Extrapulmonary tuberculosis: 7 year-experience of a tertiary center in Istanbul. Eur J Intern Med. 2013 Dec;24(8):864-7.

7. Neelakantan S, Nair PP, Emmanuel RV, Agrawal K. Diversities in presentations of extrapulmonary tuberculosis. BMJ Case Rep. 2013 Feb 28;2013. pii: bcr2013008597.

8. Solovic I, Jonsson J, Korzeniewska-Kose?a M, Chiotan DI, Pace-Asciak A, Slump E, et al. Challenges in diagnosing extrapulmonary tuberculosis in the European Union, 2011. Euro Surveill. 2013 Mar 21;18(12). pii: 20432.

9. Prakasha SR, Suresh G, D'sa IP, Shetty SS, Kumar SG. Mapping the pattern and trends of extrapulmonary tuberculosis. J Glob Infect Dis. 2013 Apr;5(2):54-9.

10. Bos JC, Smalbraak L, Macome AC, Gomes E, van Leth F, Prins JM. TB diagnostic process management of patients in a referral hospital in Mozambique in comparison with the 2007 WHO recommendations for the diagnosis of smear-negative pulmonary TB and extrapulmonary TB. Int Health. 2013 Dec;5(4):302-8.

11. Biadglegne F, Tesfaye W, Anagaw B, Tessema B, Debebe T, Anagaw B, Mulu A, Sack U, Rodloff AC. Tuberculosis lymphadenitis in Ethiopia. Jpn J Infect Dis. 2013;66(4):263-8.

12. Alghamdi AA, Awan FS, Maniyar IH, Alghamdi NA. Unusual manifestation of extrapulmonary tuberculosis. Case Rep Med. 2013; 2013:353798.

13. Mignone F, Calitri C, Scolfaro C, Garofalo S, Lonati L, Versace A, Tovo P. An adolescent with persistent cervical lymphadenopathy and retropharyngeal abscess: case report. Minerva Pediatr. 2013 Oct;65(5):569-74.

Downloads

Published

2015-12-28

How to Cite

1.
García Acosta JA. Ganglionic tuberculosis as a presentation of extrapulmonary tuberculosis. Rev Ciencias Médicas [Internet]. 2015 Dec. 28 [cited 2025 Aug. 30];19(6):1195-200. Available from: https://revcmpinar.sld.cu/index.php/publicaciones/article/view/2444

Issue

Vol. 19 No. 6 (2015)

Section

CASE REPORTS

License

Authors who have publications with this journal agree to the following terms: Authors will retain their copyrights and grant the journal the right of first publication of their work, which will be publication of their work, which will be simultaneously subject to the Creative Commons Attribution License (CC-BY-NC 4.0) that allows third parties to share the work as long as its author and first publication in this journal are indicated.

Authors may adopt other non-exclusive license agreements for distribution of the published version of the work (e.g.: deposit it in an institutional telematic archive or publish it in a volume). Likewise, and according to the recommendations of the Medical Sciences Editorial (ECIMED), authors must declare in each article their contribution according to the CRediT taxonomy (contributor roles). This taxonomy includes 14 roles, which can be used to represent the tasks typically performed by contributors in scientific academic production. It should be consulted in monograph) whenever initial publication in this journal is indicated. Authors are allowed and encouraged to disseminate their work through the Internet (e.g., in institutional telematic archives or on their web page) before and during the submission process, which may produce interesting exchanges and increase citations of the published work. (See The effect of open access). https://casrai.org/credit/