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[An older man with a supraclavicular mass]
A M Heerink1, P Noë, P H P Groeneveld
1Isala, Zwolle.
Nederlands Tijdschrift Voor Geneeskunde
|November 18, 2017
Summary
A painful supraclavicular mass in an elderly man was diagnosed as tuberculous lymphadenitis. Prompt treatment with a four-drug regimen led to successful recovery, highlighting effective tuberculosis management.
Area of Science:
- Infectious Diseases
- Microbiology
- Public Health
Background:
- Tuberculous lymphadenitis is a common form of extrapulmonary tuberculosis.
- Early diagnosis and treatment are crucial for patient outcomes and preventing transmission.
Observation:
- An 80-year-old male presented with a painful right supraclavicular mass.
- Aspiration yielded purulent fluid containing acid-fast bacteria.
Findings:
- Microscopic examination confirmed the presence of acid-fast bacilli.
- The findings were consistent with a diagnosis of tuberculous lymphadenitis.
Implications:
- This case underscores the importance of considering tuberculosis in the differential diagnosis of neck masses, especially in endemic regions.
- Effective management with a standard four-drug anti-tuberculosis regimen resulted in a favorable outcome.
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