A case of extrapulmonary lymph nodes tuberculosis in a hemodialysis patient
International Journal of Development Research
A case of extrapulmonary lymph nodes tuberculosis in a hemodialysis patient
Received 10th February, 2018; Received in revised form 29th March, 2018; Accepted 17th April, 2018; Published online 31st May, 2018
Copyright © 2018, Brătescu Lavinia-Oltita et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
There was described a case of extra pulmonary lymph nodes tuberculosis in a type 2 diabetes mellitus chronic hemodialysed (HD) patient, with hepatitis B virus. The association of these comorbiditieshasraised therapeutic controversy. The signs and symptoms and also, thebiopsy and imaging investigations were initially interpreted as sarcoidosis and treated accordingly. Unfavorable clinical evolution under corticosteroids decided reevaluating the histological sections, which were positive for the diagnosis of tuberculosis. After 6 months of tuberculostatics, the clinical and paraclinical evolution was favorable. The mediastinal localization of the tumor mass has made the diagnosis very difficult, including biopsy sampling. Also, the differential diagnosis between sarcoidosis and lymph nodes tuberculosis was crucial for the therapy’s management.
