Tuberculous cervical lymphadenitis
Caucasian with one month left parotid enlargement, with no improvement after one week of antibiotics and anti-inflammatories. No fever or other associated symptoms.
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Ill-defined nodules in the apical segments of the upper lobes, especially the left, some cavitating.
Multiple enlarged left parotid, level II and level V lymph nodes, with central fluid attenuation.
CT findings in pulmonary TB and tuberculous lymphadenitis have been well described.
Cavitating lung nodules. The left cervical and parotid lymph nodes have central low attenuation, corresponding to areas of caseating necrosis, with peripheral rim enhancement.
In this case, the CT was suspicious for granulomatous disease, most likely tuberculosis. The fine-needle aspiration of an intraparotid lymph node was positive for Mycobacterium tuberculosis.
- 1. Deveci HS, Kule M, Kule ZA, Habesoglu TE. Diagnostic challenges in cervical tuberculous lymphadenitis: A review. Northern clinics of Istanbul. 3 (2): 150-155. doi:10.14744/nci.2016.20982 - Pubmed
- 3. Sathekge M, Maes A, D'Asseler Y, Vorster M, Gongxeka H, Van de Wiele C. Tuberculous lymphadenitis: FDG PET and CT findings in responsive and nonresponsive disease. European journal of nuclear medicine and molecular imaging. 39 (7): 1184-90. doi:10.1007/s00259-012-2115-y - Pubmed
- 4. Ludwig BJ, Wang J, Nadgir RN, Saito N, Castro-Aragon I, Sakai O. Imaging of cervical lymphadenopathy in children and young adults. AJR. American journal of roentgenology. 199 (5): 1105-13. doi:10.2214/AJR.12.8629 - Pubmed
- 2. Jha BC, Dass A, Nagarkar NM, Gupta R, Singhal S. Cervical tuberculous lymphadenopathy: changing clinical pattern and concepts in management. Postgraduate medical journal. 77 (905): 185-7. Pubmed