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Pretracheal tuberculous abcess mimicking a thyroid swelling—A case report

INTRODUCTION: Pretracheal tubercular abscess is a rare presentation of extra pulmonary tuberculosis even in TB- endemic areas (WHO, 2014 [3]). It usually presents in posterior triangle group of lymph nodes (Baskota et al., 2004 [2]). PRESENTATION OF CASE: We report a case of a lower midline swelling...

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Autores principales: Reddy, Sambi G., Daggolu, Jerusha
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5090191/
https://www.ncbi.nlm.nih.gov/pubmed/27792979
http://dx.doi.org/10.1016/j.ijscr.2016.10.010
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author Reddy, Sambi G.
Daggolu, Jerusha
author_facet Reddy, Sambi G.
Daggolu, Jerusha
author_sort Reddy, Sambi G.
collection PubMed
description INTRODUCTION: Pretracheal tubercular abscess is a rare presentation of extra pulmonary tuberculosis even in TB- endemic areas (WHO, 2014 [3]). It usually presents in posterior triangle group of lymph nodes (Baskota et al., 2004 [2]). PRESENTATION OF CASE: We report a case of a lower midline swelling in anterior part of the neck of 6 months duration, with dysphagia of 1 month duration. Radiological diagnosis was established as tuberculous abscess and was drained. Patient was started on anti tuberculous treatment. DISCUSSION: Swellings anatomically located in the area of anterior group of lymph nodes should be dealt with high degree of suspicion for tubercular etiology especially in TB-endemic areas (WHO, 2014 [3]). Anterior group of lymph node involvement is very rare. To differentiate, proper radiological assessment is needed to differentiate between thyroid nodule and lymph node pathology. CONCLUSION: Pre operative assessment is often under estimated. Adequate evaluation will avoid major surgery for a benign pathology like tuberculosis.
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spelling pubmed-50901912016-11-07 Pretracheal tuberculous abcess mimicking a thyroid swelling—A case report Reddy, Sambi G. Daggolu, Jerusha Int J Surg Case Rep Case Report INTRODUCTION: Pretracheal tubercular abscess is a rare presentation of extra pulmonary tuberculosis even in TB- endemic areas (WHO, 2014 [3]). It usually presents in posterior triangle group of lymph nodes (Baskota et al., 2004 [2]). PRESENTATION OF CASE: We report a case of a lower midline swelling in anterior part of the neck of 6 months duration, with dysphagia of 1 month duration. Radiological diagnosis was established as tuberculous abscess and was drained. Patient was started on anti tuberculous treatment. DISCUSSION: Swellings anatomically located in the area of anterior group of lymph nodes should be dealt with high degree of suspicion for tubercular etiology especially in TB-endemic areas (WHO, 2014 [3]). Anterior group of lymph node involvement is very rare. To differentiate, proper radiological assessment is needed to differentiate between thyroid nodule and lymph node pathology. CONCLUSION: Pre operative assessment is often under estimated. Adequate evaluation will avoid major surgery for a benign pathology like tuberculosis. Elsevier 2016-10-17 /pmc/articles/PMC5090191/ /pubmed/27792979 http://dx.doi.org/10.1016/j.ijscr.2016.10.010 Text en © 2016 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Reddy, Sambi G.
Daggolu, Jerusha
Pretracheal tuberculous abcess mimicking a thyroid swelling—A case report
title Pretracheal tuberculous abcess mimicking a thyroid swelling—A case report
title_full Pretracheal tuberculous abcess mimicking a thyroid swelling—A case report
title_fullStr Pretracheal tuberculous abcess mimicking a thyroid swelling—A case report
title_full_unstemmed Pretracheal tuberculous abcess mimicking a thyroid swelling—A case report
title_short Pretracheal tuberculous abcess mimicking a thyroid swelling—A case report
title_sort pretracheal tuberculous abcess mimicking a thyroid swelling—a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5090191/
https://www.ncbi.nlm.nih.gov/pubmed/27792979
http://dx.doi.org/10.1016/j.ijscr.2016.10.010
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