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[Tuberculous lymphadenopathy. Diagnosis and treatment. Case report]
Israel Didier Cruz Anleu1, José Roberto Velázquez Serratos, Alejandro Alejandre García
1UNAM, Instituto Nacional de Enfermedades Respiratorias "Dr. Ismael Cosio Villegas". canleu2@yahoo.com.mx
Insights
Tuberculosis in children, particularly in developing nations, remains a significant health concern. This case highlights successful treatment of disseminated tuberculous lymphadenitis in an infant using standard first-line drugs.
Area of Science:
- Pediatrics
- Infectious Diseases
- Public Health
Background:
- Tuberculosis (TB) poses a significant global health burden, disproportionately affecting children in developing countries.
- Childhood TB often reflects broader issues in disease surveillance, treatment adherence, and eradication efforts.
- Tuberculous lymphadenitis is the most frequent manifestation of extrapulmonary TB.
Observation:
- A case of disseminated tuberculous lymphadenitis was diagnosed in an infant.
- Diagnosis was confirmed through an excisional biopsy of an axillary lymph node.
- The infant presented with widespread lymph node involvement.
Findings:
- The infant received standard first-line antituberculosis drugs for treatment.
- Complete clinical recovery was achieved following the prescribed medical regimen.
- Prompt diagnosis and treatment were crucial for the favorable outcome.
Implications:
- This case underscores the importance of early diagnosis and appropriate treatment for disseminated TB in infants.
- Effective management of childhood TB can lead to complete healing and improved public health outcomes.
- Highlights the efficacy of first-line antituberculosis drugs in managing severe pediatric TB cases.
Abstract:
Tuberculosis is a common cause of morbimortality among children, especially in developing countries, where 95% of cases occur. Child tuberculosis is closely related to tuberculosis in the adult, since the diagnosis is an indicator of poor surveillance, treatment, and effort to eradicate it. Tuberculous lymphadenitis (tuberculosis of the lymph node) is the most common form of extrapulmonary tuberculosis. We describe the case of an infant diagnosed with disseminated tuberculous lymphadenitis, by axillary lymph node excisional biopsy. Medical treatment first line antituberculosis drugs with allowed complete healing of the patient.
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