Isolated humeral tuberculosis lymphadenitis in healthy woman: Case report

INTRODUCTION: Pulmonary tuberculosis is a disease that may effect on many organs such as the lung, peritoneum and spread to adjacent lymph nodes in advanced stages, but it is rarely to be as an isolated lymph node without accompanying pulmonary or extra pulmonary tuberculosis in healthy persons. CASE PRESENTATION: A 40 –Years-female presented with a chief complaint of Pain in the lateral side of the Right humerus above the elbow, with no medical history, on clinical examination there was a painful palpable mass in mentioned place. The mass was removed surgically under local anesthesia and sent for pathological autopsy. The result of the pathological autopsy was tuberculosis lymphadenitis. After that, the patient has been sent to a specialized center for tuberculosis to receive the suitable treatment. DISCUSSION: More studies should be done to investigate the potential causes of these unusual cases and finding the accurate physiological mechanisms that inhibit the usual manifestations of tuberculosis in these patients to avoid advanced complications. CONCLUSION: Isolated tuberculosis lymphadenitis in healthy persons is unusual case in the literature, which the clinical doctors should be careful in examination the patients who admitting with abnormal lymph nodes and unknown history exposure to tuberculosis. .