Peripancreatic tuberculous lymphadenitis in an immunocompetent patient

Shanthi Palaniappan, Hassanuddin Aizan

    Research output: Contribution to journalArticle

    Abstract

    Tuberculosis, an ancient disease continues to be a health care burden in Malaysia in the 21st century. Extrapulmonary tuberculosis is a less common presentation of tuberculosis and in particular peripancreatic tuberculous lymphadenitis is rarely seen. We report a case of a young immunocompetent boy presenting with a two month history of non productive chronic cough associated with loss of appetite and loss of weight. Investigations including CT Scan and Endoscopic ultrasound revealed multiple mediastinal lymphadenopathy and peripancreatic lymphadenopathy with central caseation necrosis. Histology of cervical lymph node was suggestive of tuberculosis and mycobacterium PCR was positive. The patient was subsequently treated with antituberculous therapy and had marked clinical improvement of his symptoms. This case outlines a rare presentation of a common disease and the application of newer investigative tools in making the diagnosis.

    Original languageEnglish
    Pages (from-to)184-186
    Number of pages3
    JournalMedical Journal of Malaysia
    Volume69
    Issue number4
    Publication statusPublished - 1 Aug 2014

    Fingerprint

    Lymph Node Tuberculosis
    Tuberculosis
    Malaysia
    Appetite
    Mycobacterium tuberculosis
    Cough
    Weight Loss
    Histology
    Necrosis
    Lymph Nodes
    Delivery of Health Care
    Polymerase Chain Reaction
    Lymphadenopathy
    Therapeutics

    Keywords

    • Endoscopic ultrasound
    • Pancreas
    • Peripancreatic lymphadenitis
    • Tuberculosis

    ASJC Scopus subject areas

    • Medicine(all)

    Cite this

    Peripancreatic tuberculous lymphadenitis in an immunocompetent patient. / Palaniappan, Shanthi; Aizan, Hassanuddin.

    In: Medical Journal of Malaysia, Vol. 69, No. 4, 01.08.2014, p. 184-186.

    Research output: Contribution to journalArticle

    Palaniappan, S & Aizan, H 2014, 'Peripancreatic tuberculous lymphadenitis in an immunocompetent patient', Medical Journal of Malaysia, vol. 69, no. 4, pp. 184-186.
    Palaniappan, Shanthi ; Aizan, Hassanuddin. / Peripancreatic tuberculous lymphadenitis in an immunocompetent patient. In: Medical Journal of Malaysia. 2014 ; Vol. 69, No. 4. pp. 184-186.
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