Tuberculous Lymphadenitis in Immunocompromised Patients: A Case Report
Introduction: Tuberculous lymphadenitis (TBLN) is a form of extra-pulmonary TB with clinical features ranging from lumps to abscesses. Human Immunodeficiency Virus (HIV) co-infection and diabetes mellitus alongside TBLN made the diagnosis and management exceptionally challenging. We reported 3 cases...
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| Format: | Article |
| Language: | English |
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Universitas Airlangga
2022-01-01
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| Series: | Jurnal Respirasi |
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| Online Access: | https://e-journal.unair.ac.id/JR/article/view/30848 |
| _version_ | 1818324406670196736 |
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| author | Edward Pandu Wiriansya Irawaty Djaharuddin Andi Tiara Salengke Adam |
| author_facet | Edward Pandu Wiriansya Irawaty Djaharuddin Andi Tiara Salengke Adam |
| author_sort | Edward Pandu Wiriansya |
| collection | DOAJ |
| description | Introduction: Tuberculous lymphadenitis (TBLN) is a form of extra-pulmonary TB with clinical features ranging from lumps to abscesses. Human Immunodeficiency Virus (HIV) co-infection and diabetes mellitus alongside TBLN made the diagnosis and management exceptionally challenging. We reported 3 cases of TBLN, 2 among them had an existing HIV co-infection, and 1 had preexisting diabetes mellitus.
Case: The first case, a 28-year-old man, previously diagnosed with HIV, complained of a lump in the neck; biopsy results suggested TBLN. The second case was a 36-year-old man with a neck abscess and HIV co-infection. Acid Fast Bacilli (AFB) pus was positive & Human Immunodeficiency Virus Enzyme-Linked Immunosorbent Assay (HIV ELISA) was reactive. The third case was a patient with a neck abscess with preexisting diabetes mellitus (DM) underwent wound debridement and was given anti-tuberculosis drugs.
Conclusion: TBLN with HIV co-infection or diabetes had clinical features ranging from a painful lump to an abscess. The definitive diagnosis was taken by examining AFB from pus. If the abscess was more extensive than or equal to 3 cm, wound debridement was necessary. The primary treatment for TBLN was anti-tuberculosis drugs and required even greater attention if a patient had any preexisting comorbidities such as HIV and diabetes. |
| first_indexed | 2024-12-13T11:28:05Z |
| format | Article |
| id | doaj.art-1247888289d24feb9e6fe3cb56b02442 |
| institution | Directory Open Access Journal |
| issn | 2407-0831 2621-8372 |
| language | English |
| last_indexed | 2024-12-13T11:28:05Z |
| publishDate | 2022-01-01 |
| publisher | Universitas Airlangga |
| record_format | Article |
| series | Jurnal Respirasi |
| spelling | doaj.art-1247888289d24feb9e6fe3cb56b024422022-12-21T23:48:04ZengUniversitas AirlanggaJurnal Respirasi2407-08312621-83722022-01-01813943http://dx.doi.org/10.20473/jr.v8-I.1.2022.39-43Tuberculous Lymphadenitis in Immunocompromised Patients: A Case ReportEdward Pandu Wiriansya0Irawaty Djaharuddin1https://orcid.org/0000-0002-5240-4950Andi Tiara Salengke Adam2https://orcid.org/0000-0001-5934-7875Department of Pulmonology and Respiratory Medicine, Universitas Hasanuddin IndonesiaDepartment of Pulmonology and Respiratory Medicine, Universitas Hasanuddin IndonesiaFaculty of Medicine, Universitas Hasanuddin IndonesiaIntroduction: Tuberculous lymphadenitis (TBLN) is a form of extra-pulmonary TB with clinical features ranging from lumps to abscesses. Human Immunodeficiency Virus (HIV) co-infection and diabetes mellitus alongside TBLN made the diagnosis and management exceptionally challenging. We reported 3 cases of TBLN, 2 among them had an existing HIV co-infection, and 1 had preexisting diabetes mellitus. Case: The first case, a 28-year-old man, previously diagnosed with HIV, complained of a lump in the neck; biopsy results suggested TBLN. The second case was a 36-year-old man with a neck abscess and HIV co-infection. Acid Fast Bacilli (AFB) pus was positive & Human Immunodeficiency Virus Enzyme-Linked Immunosorbent Assay (HIV ELISA) was reactive. The third case was a patient with a neck abscess with preexisting diabetes mellitus (DM) underwent wound debridement and was given anti-tuberculosis drugs. Conclusion: TBLN with HIV co-infection or diabetes had clinical features ranging from a painful lump to an abscess. The definitive diagnosis was taken by examining AFB from pus. If the abscess was more extensive than or equal to 3 cm, wound debridement was necessary. The primary treatment for TBLN was anti-tuberculosis drugs and required even greater attention if a patient had any preexisting comorbidities such as HIV and diabetes.https://e-journal.unair.ac.id/JR/article/view/30848extra-pulmonary tuberculosistuberculosis infectiontuberculous lymphadenitis |
| spellingShingle | Edward Pandu Wiriansya Irawaty Djaharuddin Andi Tiara Salengke Adam Tuberculous Lymphadenitis in Immunocompromised Patients: A Case Report Jurnal Respirasi extra-pulmonary tuberculosis tuberculosis infection tuberculous lymphadenitis |
| title | Tuberculous Lymphadenitis in Immunocompromised Patients: A Case Report |
| title_full | Tuberculous Lymphadenitis in Immunocompromised Patients: A Case Report |
| title_fullStr | Tuberculous Lymphadenitis in Immunocompromised Patients: A Case Report |
| title_full_unstemmed | Tuberculous Lymphadenitis in Immunocompromised Patients: A Case Report |
| title_short | Tuberculous Lymphadenitis in Immunocompromised Patients: A Case Report |
| title_sort | tuberculous lymphadenitis in immunocompromised patients a case report |
| topic | extra-pulmonary tuberculosis tuberculosis infection tuberculous lymphadenitis |
| url | https://e-journal.unair.ac.id/JR/article/view/30848 |
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