Left Lateral Cervical Mass with Draining Sinuses
Joint Authors
Michaelides, Stylianos A.
Bablekos, George D.
Vgenopoulou, Stephanie
Chorti, Maria
Michailidis, Avgerinos-Romanos
Gkioxari, Efthalia
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-07-25
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
The aim of the present study is to describe an uncommon case of tuberculous lymphadenitis (TL) in a symptomless 89-year-old male smoker patient, who presented at the emergency department of our hospital with left lateral cervical swelling with draining sinuses.
No other clinical symptoms or physical findings were observed at admission.
An elevated erythrocyte sedimentation rate (ESR) and a small calcified nodule in chest CT were the only abnormal findings.
Pus samples from sinuses were examined and confirmed tuberculosis which was in agreement with surgical pathology of lymph nodes.
A four- (4-) drug antituberculous regimen was administered.
After an initial remission of his symptoms, the patient presented an exacerbation of the cervical swelling with draining sinuses necessitating addition of oral steroids.
TL can be symptomless presenting a paradoxical reaction during treatment.
The uniqueness of our case lies in the patient’s advanced age, which is uncommon with cervical lymphadenopathy as a form of extrapulmonary tuberculosis, as well as in the administration of oral steroids to resolve the neck’s clinical deterioration.
The patient had a complete recovery and was free of disease after completion of his six-month antituberculous chemotherapy.
American Psychological Association (APA)
Michaelides, Stylianos A.& Bablekos, George D.& Michailidis, Avgerinos-Romanos& Gkioxari, Efthalia& Vgenopoulou, Stephanie& Chorti, Maria. 2019. Left Lateral Cervical Mass with Draining Sinuses. Case Reports in Medicine،Vol. 2019, no. 2019, pp.1-6.
https://search.emarefa.net/detail/BIM-1140975
Modern Language Association (MLA)
Michaelides, Stylianos A.…[et al.]. Left Lateral Cervical Mass with Draining Sinuses. Case Reports in Medicine No. 2019 (2019), pp.1-6.
https://search.emarefa.net/detail/BIM-1140975
American Medical Association (AMA)
Michaelides, Stylianos A.& Bablekos, George D.& Michailidis, Avgerinos-Romanos& Gkioxari, Efthalia& Vgenopoulou, Stephanie& Chorti, Maria. Left Lateral Cervical Mass with Draining Sinuses. Case Reports in Medicine. 2019. Vol. 2019, no. 2019, pp.1-6.
https://search.emarefa.net/detail/BIM-1140975
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1140975