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Dystrophic calcification in the neck--a case report

N Bhattacharjee¹, M A Quader, M Haque

¹Deptt. of E.N.T., Chittagong Medical College.

Bangladesh Medical Research Council Bulletin

|October 20, 1998

Summary

Tuberculosis (TB) can manifest as neck swelling with sinus formation, a rare presentation. Prompt diagnosis and anti-TB chemotherapy led to a full recovery in this case.

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Area of Science:

Otolaryngology
Infectious Diseases
Pathology

Background:

Neck masses and discharging sinuses can indicate various pathologies, including infections.
Tuberculosis (TB) is a significant global health concern, though cervical presentations are less common.

Observation:

A 55-year-old male presented with progressive, painless neck swelling and multiple discharging sinuses.
Radiography revealed a dense radio-opaque shadow in the neck, with a serum calcium level of 2 mmol/l.
Surgical exploration identified an irregular calculus near the left carotid sheath.

Findings:

Histopathological examination confirmed tuberculosis as the cause of the cervical lesion.
The calculus was associated with the tuberculous process, likely a reactive or calcified lymph node.

Implications:

This case highlights the importance of considering tuberculosis in the differential diagnosis of neck masses with sinus tracts, even in the absence of typical systemic symptoms.
Early diagnosis and appropriate anti-TB treatment are crucial for successful management and patient outcomes.
Cervical tuberculous lymphadenitis can present with unusual radiological and anatomical findings.

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