BibTex RIS Cite

Infraorbitally located tuberculous lypmhadenitis: a case report

Year 2009, Volume: 19 Issue: 4, 220 - 223, 18.08.2009

Abstract

Tuberculosis, which is one of the oldest diseases of the human kind, is again becoming an important health issue in recent years . Although mostly seen in lungs, it can also be localized in the lymph nodes, skin, meninges, spleen, surrenal tissues, which is referred to as extrapulmonary forms of tuberculosis. Tuberculous lymphadenitis is the most common clinical form of extrapulmonary tuberculosis and it is generally localized in cervical lymph nodes. A 50-year-old female patient presented with a hard fixed mass originating from medial cantus ending at nasobial sulcus. In the magnetic rezonance imaging examination, a solid contrast enhancing mass 20x18x15 mm in size, which was isointensely monitored with muscular structures in T1 based visuals and hyperintense in T2 sequences, was seen. The mass was excised under general anesthesia and histopathological examination revealed tuberculous lymphadenitis. Thus, the case is discussed according to literature and shows us that tuberculosis may be the reason for lymphadenitis in the areas out of the cervical region and it should always be kept in mind in the differential diagnosis.

References

  • 8th WHO annual report on global TB control. WHO/ HTM/TB/2004.331.
  • Al-Serhani AM. Mycobacterial infection of the head and neck: presentation and diagnosis. Laryngoscope 2001;111:2012-6.
  • Fitzgerald D, Haas DW. Mycobacterium tuberculosis. In: Mandell GL, Bennett JE, Dolin R, editors. Mandell, Douglas, Bennett’s principles and practice of infectious diseases. 6th ed. New York: Churchill Livingstone; 2005. p. 2852-86.
  • Raviglione MC, O Brien RJ. Tuberculosis. In: Braunwald E, Fauci AS, Kasper DL, Hauser SL, Longo DL, Jameson JL, editors. Harrison’s principles of internal medicine. 15th ed. New York: McGraw-Hill; 2001. p. 1024-34.
  • Bayraktar İ, Yılmaz V, Atabey F, Mirici AT, Can H, Saraç S. Ağız tüberkülozunun akciğer tüberkülozu ile birlikte bulunuşu. Solunum 1990;15:94-8.
  • Williams RG, Douglas-Jones T. Mycobacterium march- es back. J Laryngol Otol 1995;109:5-13.
  • Dandapat MC, Mishra BM, Dash SP, Kar PK. Peripheral lymph node tuberculosis: a review of 80 cases. Br J Surg 1990;77:911-2.
  • Karagöz T, Şenol T, Bekçi TT. Tüberküloz lenfadenit. Türk Toraks Dergisi 2001;1:74-9.
  • Chao SS, Loh KS, Tan KK, Chong SM. Tuberculous and nontuberculous cervical lymphadenitis: a clinical review. Otolaryngol Head Neck Surg 2002;126:176-9.
  • Thompson MM, Underwood MJ, Sayers RD, Dookeran KA, Bell PR. Peripheral tuberculous lymphadenopathy: a review of 67 cases. Br J Surg 1992;79:763-4.
  • Aksel N, Tavusbay N, Çakan A, Özsöz A. Lenf bezi tüberkülozlu olgularımız. Akciğer Arşivi: 2005;1:30-3.
  • Penfold CN, Revington PJ. A review of 23 patients with tuberculosis of the head and neck. Br J Oral Maxillofac Surg 1996;34:508-10.
  • Maher D, Raviglione MC. The global epidemic of tuber- culosis: a World Health Organization perspective. In: Schlossberg D editor. Tuberculosis and nontubercu- lous mycobacterial infections. 4th ed. Philadelphia: W. B. Saunders Company; 1999. p. 104-15.

İnfraorbital yerleşimli tüberküloz lenfadenit: Olgu sunumu

Year 2009, Volume: 19 Issue: 4, 220 - 223, 18.08.2009

Abstract

İnsanlık tarihinin en eski hastalıklarından biri olan tüberküloz son yıllarda tekrar önemli bir sağlık soru- nu haline gelmeye başlamıştır. En çok akciğerlerde yerleşmekle beraber; lenf bezi, deri, meninks, dalak, surrenal bezler gibi organları da tutmaktadır ve akciğer dışı tutulumlar ekstrapulmoner tüberküloz formları altında incelenmektedir. Tüberküloz lenfa- deniti ekstrapulmoner tüberkülozun en çok rastla- nan klinik formudur ve en sık servikal lenf nodları etkilenmektedir. Elli yaşında kadın hasta, üç aydır giderek büyüyen, sol medial kantusdan başlayıp nazolabial sulkusa uzanan, sert kıvamlı, fikse kitle yakınması ile başvurdu. Manyetik rezonans görüntü incelemesinde T1 ağırlıklı görüntülerde kas yapıları ile izointens, T2 ağırlıklı görüntülerde ise hiperintens izlenen, kontrast madde tutan 20x18x15 mm ölçüle- rinde solid kitle tespit edildi. Genel anestezi altında kitle çıkarıldı ve histopatolojik inceleme sonucu tüberküloz lenfadenit olarak bildirildi. Tübekülozun baş-boyunda servikal bölge dışında da lenfadenite neden olabileceğini ve ayırıcı tanıda akıldan çıka- rılmaması gerektiğini gösteren bu olgu, literatür eşliğinde tartışıldı

References

  • 8th WHO annual report on global TB control. WHO/ HTM/TB/2004.331.
  • Al-Serhani AM. Mycobacterial infection of the head and neck: presentation and diagnosis. Laryngoscope 2001;111:2012-6.
  • Fitzgerald D, Haas DW. Mycobacterium tuberculosis. In: Mandell GL, Bennett JE, Dolin R, editors. Mandell, Douglas, Bennett’s principles and practice of infectious diseases. 6th ed. New York: Churchill Livingstone; 2005. p. 2852-86.
  • Raviglione MC, O Brien RJ. Tuberculosis. In: Braunwald E, Fauci AS, Kasper DL, Hauser SL, Longo DL, Jameson JL, editors. Harrison’s principles of internal medicine. 15th ed. New York: McGraw-Hill; 2001. p. 1024-34.
  • Bayraktar İ, Yılmaz V, Atabey F, Mirici AT, Can H, Saraç S. Ağız tüberkülozunun akciğer tüberkülozu ile birlikte bulunuşu. Solunum 1990;15:94-8.
  • Williams RG, Douglas-Jones T. Mycobacterium march- es back. J Laryngol Otol 1995;109:5-13.
  • Dandapat MC, Mishra BM, Dash SP, Kar PK. Peripheral lymph node tuberculosis: a review of 80 cases. Br J Surg 1990;77:911-2.
  • Karagöz T, Şenol T, Bekçi TT. Tüberküloz lenfadenit. Türk Toraks Dergisi 2001;1:74-9.
  • Chao SS, Loh KS, Tan KK, Chong SM. Tuberculous and nontuberculous cervical lymphadenitis: a clinical review. Otolaryngol Head Neck Surg 2002;126:176-9.
  • Thompson MM, Underwood MJ, Sayers RD, Dookeran KA, Bell PR. Peripheral tuberculous lymphadenopathy: a review of 67 cases. Br J Surg 1992;79:763-4.
  • Aksel N, Tavusbay N, Çakan A, Özsöz A. Lenf bezi tüberkülozlu olgularımız. Akciğer Arşivi: 2005;1:30-3.
  • Penfold CN, Revington PJ. A review of 23 patients with tuberculosis of the head and neck. Br J Oral Maxillofac Surg 1996;34:508-10.
  • Maher D, Raviglione MC. The global epidemic of tuber- culosis: a World Health Organization perspective. In: Schlossberg D editor. Tuberculosis and nontubercu- lous mycobacterial infections. 4th ed. Philadelphia: W. B. Saunders Company; 1999. p. 104-15.
There are 13 citations in total.

Details

Primary Language Turkish
Journal Section Case Report
Authors

Ümit Hardal This is me

Gökhan Altın This is me

H. Mustafa Paksoy This is me

Sedat Aydın This is me

Alev Oktay This is me

Publication Date August 18, 2009
Published in Issue Year 2009 Volume: 19 Issue: 4

Cite

APA Hardal, Ü., Altın, G., Paksoy, H. M., Aydın, S., et al. (2009). İnfraorbital yerleşimli tüberküloz lenfadenit: Olgu sunumu. The Turkish Journal of Ear Nose and Throat, 19(4), 220-223.
AMA Hardal Ü, Altın G, Paksoy HM, Aydın S, Oktay A. İnfraorbital yerleşimli tüberküloz lenfadenit: Olgu sunumu. Tr-ENT. August 2009;19(4):220-223.
Chicago Hardal, Ümit, Gökhan Altın, H. Mustafa Paksoy, Sedat Aydın, and Alev Oktay. “İnfraorbital yerleşimli tüberküloz Lenfadenit: Olgu Sunumu”. The Turkish Journal of Ear Nose and Throat 19, no. 4 (August 2009): 220-23.
EndNote Hardal Ü, Altın G, Paksoy HM, Aydın S, Oktay A (August 1, 2009) İnfraorbital yerleşimli tüberküloz lenfadenit: Olgu sunumu. The Turkish Journal of Ear Nose and Throat 19 4 220–223.
IEEE Ü. Hardal, G. Altın, H. M. Paksoy, S. Aydın, and A. Oktay, “İnfraorbital yerleşimli tüberküloz lenfadenit: Olgu sunumu”, Tr-ENT, vol. 19, no. 4, pp. 220–223, 2009.
ISNAD Hardal, Ümit et al. “İnfraorbital yerleşimli tüberküloz Lenfadenit: Olgu Sunumu”. The Turkish Journal of Ear Nose and Throat 19/4 (August 2009), 220-223.
JAMA Hardal Ü, Altın G, Paksoy HM, Aydın S, Oktay A. İnfraorbital yerleşimli tüberküloz lenfadenit: Olgu sunumu. Tr-ENT. 2009;19:220–223.
MLA Hardal, Ümit et al. “İnfraorbital yerleşimli tüberküloz Lenfadenit: Olgu Sunumu”. The Turkish Journal of Ear Nose and Throat, vol. 19, no. 4, 2009, pp. 220-3.
Vancouver Hardal Ü, Altın G, Paksoy HM, Aydın S, Oktay A. İnfraorbital yerleşimli tüberküloz lenfadenit: Olgu sunumu. Tr-ENT. 2009;19(4):220-3.