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[Infraorbitally located tuberculous lypmhadenitis: a case report]
Umit Hardal1, Gökhan Altin, Mustafa Paksoy
1Department of Otolaryngology, Lütfi Kirdar Training and Research Hospital, Istanbul, Turkey.
Summary
Tuberculosis can affect lymph nodes outside the neck, presenting as extrapulmonary tuberculosis. This case highlights tuberculous lymphadenitis in the facial region, emphasizing its importance in differential diagnosis.
Area of Science:
- Medicine
- Pathology
- Radiology
Background:
- Tuberculosis (TB) is a significant global health concern, with extrapulmonary TB affecting various organs.
- Tuberculous lymphadenitis is the most common form of extrapulmonary TB, typically involving cervical lymph nodes.
Observation:
- A 50-year-old female presented with a facial mass near the medial canthus and nasolabial sulcus.
- MRI revealed a solid, contrast-enhancing mass measuring 20x18x15 mm, with specific signal characteristics on T1 and T2 sequences.
Findings:
- Histopathological examination of the excised mass confirmed tuberculous lymphadenitis.
- The location of the lymphadenitis was atypical, occurring in the facial region rather than the usual cervical area.
Implications:
- This case underscores that tuberculosis can manifest as lymphadenitis in unusual anatomical locations.
- Clinicians should consider tuberculous lymphadenitis in the differential diagnosis of facial masses, even outside the typical cervical region.
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