Tuberculous cervical lymphadenitis

Case contributed by Frank Gaillard
Diagnosis certain

Presentation

Swollen right cervical lymph nodes.

Patient Data

Age: 30 years
Gender: Female
Annotated image

Enlarged lymph nodes in the right deep cervical chain with low density centers (arrows). Scrofula was thought to be the most likely diagnosis.

Case Discussion

Biopsy and culture of the cervical lymph nodes was positive for Mycobacterium tuberculosis

Lymph nodes with low density are typically seen with TB, fungal infections, pyogenic infection, necrotic metastases and occasionally lymphoma.  

Credit: Dr Bernard Ng.

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