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Tuberculosis presenting as stridor.

R V Hodder, N Le Saux, F M Shamji

    The Annals of Thoracic Surgery
    |January 1, 1987
    PubMed
    Summary
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    Tuberculous mediastinal lymphadenopathy can mimic cancer, causing stridor. Effective antituberculous chemotherapy resolved the condition, allowing for successful corticosteroid withdrawal.

    Area of Science:

    • Pulmonology
    • Infectious Diseases
    • Oncology

    Background:

    • Mediastinal widening and stridor in adults can present diagnostic challenges.
    • Tuberculous lymphadenopathy is a potential cause of mediastinal mass, often mimicking neoplastic processes.

    Observation:

    • A 40-year-old woman presented with stridor and mediastinal widening.
    • Initial symptoms suggested a neoplastic etiology, requiring high-dose corticosteroids for stridor management.

    Findings:

    • The patient was diagnosed with tuberculous mediastinal lymphadenopathy.
    • Initiation of antituberculous chemotherapy led to the successful resolution of mediastinal lymphadenopathy.
    • Corticosteroid therapy was gradually withdrawn without recurrence of stridor.

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    Implications:

    • This case highlights the importance of considering tuberculosis in the differential diagnosis of mediastinal masses presenting with airway compromise.
    • Antituberculous chemotherapy is an effective treatment for tuberculous mediastinal lymphadenopathy, obviating the need for prolonged corticosteroid use.
    • Early diagnosis and treatment of tuberculous lymphadenopathy can prevent complications and improve patient outcomes.