A Diagnostic Dilemma: A Young Boy with Loss of Weight, Pulmonary Infiltrates and Cervical Lymphadenitis
Cervical lymphadenitis is a common finding in young adults in a country like India, where tuberculosis is endemic. We are presenting the case of a young boy who presented with low grade fever, dry cough, weight loss, and a cervical swelling. His chest X-ray showed diffuse reticulonodular infiltrat...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2013-08-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://jcdr.net/articles/PDF/3251/69-%205756_PF1(M)_E(C)_F(T)_PF1(VRP)_PFA(PM)_PF3_(PUH)_B.pdf |
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| author | Asmita A. Mehta Sunil Kumar K. Rajesh Venkitakrishnan |
| author_facet | Asmita A. Mehta Sunil Kumar K. Rajesh Venkitakrishnan |
| author_sort | Asmita A. Mehta |
| collection | DOAJ |
| description | Cervical lymphadenitis is a common finding in young adults in a country like India, where tuberculosis is endemic. We are presenting the
case of a young boy who presented with low grade fever, dry cough, weight loss, and a cervical swelling. His chest X-ray showed diffuse
reticulonodular infiltrates. Contrast enhanced CT of chest showed bilateral multiple ring shadows. Cervical lymph node fine needle cytology
suggested a metastatic thyroid carcinoma. He was evaluated extensively and a final diagnosis of a familial medullary thyroid carcinoma was
made. Medullary thyroid carcinoma should be considered in the differential diagnosis of cervical lymphadenitis with lung infiltrates in young
adults. It may be sporadic or a part of an inherited autosomal dominant disorder like multiple endocrine neoplasia. Genetic testing should
be done for all patients with a diagnosis of medullary thyroid carcinoma. |
| first_indexed | 2024-12-23T10:55:25Z |
| format | Article |
| id | doaj.art-49d7c491edf54b9eb5aa407713a4c356 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-23T10:55:25Z |
| publishDate | 2013-08-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-49d7c491edf54b9eb5aa407713a4c3562022-12-21T17:49:47ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2013-08-01781745174610.7860/JCDR/2013/5756.3251A Diagnostic Dilemma: A Young Boy with Loss of Weight, Pulmonary Infiltrates and Cervical LymphadenitisAsmita A. Mehta0Sunil Kumar K.1Rajesh Venkitakrishnan2Clinical Associate Professor, Department of Pulmonary Medicine, Amrita Institute of Medical Sciences, Ponekara, Kochi-682041, Kerala, India.Senior Resident, Department of Pulmonary Medicine, Amrita Institute of Medical Sciences, Ponekara, Kochi-682041, Kerala India.Associate Professor, Department of Pulmonary Medicine, Amrita Institute of Medical Sciences, Ponekara, Kochi-682041, Kerala India.Cervical lymphadenitis is a common finding in young adults in a country like India, where tuberculosis is endemic. We are presenting the case of a young boy who presented with low grade fever, dry cough, weight loss, and a cervical swelling. His chest X-ray showed diffuse reticulonodular infiltrates. Contrast enhanced CT of chest showed bilateral multiple ring shadows. Cervical lymph node fine needle cytology suggested a metastatic thyroid carcinoma. He was evaluated extensively and a final diagnosis of a familial medullary thyroid carcinoma was made. Medullary thyroid carcinoma should be considered in the differential diagnosis of cervical lymphadenitis with lung infiltrates in young adults. It may be sporadic or a part of an inherited autosomal dominant disorder like multiple endocrine neoplasia. Genetic testing should be done for all patients with a diagnosis of medullary thyroid carcinoma.https://jcdr.net/articles/PDF/3251/69-%205756_PF1(M)_E(C)_F(T)_PF1(VRP)_PFA(PM)_PF3_(PUH)_B.pdfcervical lymphadenitiscystic shadowsfamilial medullary thyroid carcinoma |
| spellingShingle | Asmita A. Mehta Sunil Kumar K. Rajesh Venkitakrishnan A Diagnostic Dilemma: A Young Boy with Loss of Weight, Pulmonary Infiltrates and Cervical Lymphadenitis Journal of Clinical and Diagnostic Research cervical lymphadenitis cystic shadows familial medullary thyroid carcinoma |
| title | A Diagnostic Dilemma: A Young Boy with Loss of Weight, Pulmonary Infiltrates and Cervical Lymphadenitis |
| title_full | A Diagnostic Dilemma: A Young Boy with Loss of Weight, Pulmonary Infiltrates and Cervical Lymphadenitis |
| title_fullStr | A Diagnostic Dilemma: A Young Boy with Loss of Weight, Pulmonary Infiltrates and Cervical Lymphadenitis |
| title_full_unstemmed | A Diagnostic Dilemma: A Young Boy with Loss of Weight, Pulmonary Infiltrates and Cervical Lymphadenitis |
| title_short | A Diagnostic Dilemma: A Young Boy with Loss of Weight, Pulmonary Infiltrates and Cervical Lymphadenitis |
| title_sort | diagnostic dilemma a young boy with loss of weight pulmonary infiltrates and cervical lymphadenitis |
| topic | cervical lymphadenitis cystic shadows familial medullary thyroid carcinoma |
| url | https://jcdr.net/articles/PDF/3251/69-%205756_PF1(M)_E(C)_F(T)_PF1(VRP)_PFA(PM)_PF3_(PUH)_B.pdf |
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