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Related Experiment Videos

[Abdominal lymph node tuberculosis: a diagnostic surprise].

P Bernardeschi1, I Bonechi, G Cavallini

  • 1I Divisione di Medicina interna, Ospedale, San Miniato.

Recenti Progressi in Medicina
|January 1, 1990
PubMed
Summary
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Tuberculosis can cause enlarged lymph nodes in the abdomen, even without typical symptoms. This case highlights the importance of considering tuberculosis in diagnosing unexplained abdominal lymphadenopathy.

Area of Science:

  • Internal Medicine
  • Radiology
  • Infectious Diseases

Background:

  • Abdominal lymphadenopathy can present with non-specific symptoms like fever, pain, and weight loss.
  • Non-invasive imaging, such as ultrasound, may reveal enlarged lymph nodes but often requires further investigation for definitive diagnosis.

Observation:

  • A patient presented with fever, abdominal pain, and weight loss, showing multiple enlarged lymph nodes on abdominal sonography.
  • Initial non-invasive tests were negative, prompting surgical exploration (laparotomy) and biopsy.

Findings:

  • Histologic and bacteriologic examination revealed tuberculous lymph nodes.
  • The diagnosis was unexpected due to the patient's negative tuberculin skin test and absence of pulmonary tuberculosis signs.

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Implications:

  • Tuberculosis should be considered in the differential diagnosis of subdiaphragmatic lymphadenopathies, even in patients without typical symptoms or known exposure.
  • This case underscores the need for a broad diagnostic approach to abdominal lymphadenopathy, especially when initial investigations are inconclusive.