Man with bilateral inguinal lymphadenopathy

2018 ◽  
Vol 35 (8) ◽  
pp. 522.1-522
Author(s):  
Charlotte Delcourt ◽  
Jean Cyr Yombi ◽  
Halil Yildiz
Keyword(s):  
Lymph Node ◽  
Physical Examination ◽  
Sexual Intercourse ◽  
Vital Signs ◽  
List Type ◽  
Cat Scratch Disease ◽  
Night Sweats ◽  
History Of ◽  
Inguinal Lymphadenopathy ◽  
Lymph Node Tuberculosis

Clinical introductionA 37-year-old man with history of lymph node tuberculosis presented with bilateral inguinal swelling with night sweats but no fever for 2 weeks. He had a cat but he had no history of scratches. He had an extraconjugal sexual intercourse a few weeks before. Physical examination revealed 5 cm tender, erythematous and painful bilateral inguinal adenopathy (figure 1A) and a small ulceration at the base of the penis (figure 1B). Vital signs were normal.Figure 1(A) Inguinal lymphadenopathy. (B) Ulceration at the base of the penis.QuestionWhat is the most likely diagnosis?ToxoplasmosisTuberculosisCat-scratch diseaseLymphogranuloma venereumSyphilis

scholarly journals Cat scratch disease- a case report

2015 ◽  
Vol 5 (1) ◽  
pp. 316-317 ◽  
Author(s):  
BH Nazma Yasmeen ◽  
Rowshan Akhter Jahan ◽  
Shafi Ahmed ◽  
Mahfuza Hussain ◽  
Abbas Uddin Khan ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Lymph Node ◽  
Physical Examination ◽  
Lymph Node Biopsy ◽  
Low Grade ◽  
Cat Scratch Disease ◽  
Medical College ◽  
Node Biopsy ◽  
History Of

We are reporting a case of a 10 year old boy admitted in Dhaka Shishu (Children) hospital with the complaints of –swelling of both side of inguinal region for 2 months, tenderness of the same area for 1 month and low grade fever for 2 months. With the history and physical examination of the patients our differential diagnosis was Tuberculosis/Lymphoma/Cat scratch disease (CSD). He had only a history of contact with a kitten for 1 week 3 months back but no history of cat scratch or bite. Lymph node biopsy revealed that it was a case of Cat scratch disease.Northern International Medical College Journal Vol.5(1) 2013: 316-317

scholarly journals Cat Scratch Disease

2012 ◽  
Vol 2 (1) ◽  
pp. 40-42 ◽  
Author(s):  
Swapna Bhattacharjee ◽  
Shekhar Bhattacharjee ◽  
Ahmed Al Montasir
Keyword(s):  
Lymph Node ◽  
Physical Examination ◽  
Medical College Hospital ◽  
Outpatient Department ◽  
Cat Scratch Disease ◽  
Aspiration Cytology ◽  
College Hospital ◽  
Medical College ◽  
History Of

We report a case of cat scratch disease in a young boy who presented in the outpatient department of Enam Medical College Hospital, Savar, Dhaka with history of cat scratch and regional painful lymphadenopathy. The diagnosis was made on the basis of history, physical examination and common investigations including lymph node aspiration cytology DOI: http://dx.doi.org/10.3329/jemc.v2i1.11928 J Enam Med Col 2012; 2(1): 40-42

scholarly journals 1641. A Comparative Analysis Of Lymph Node Tuberculosis Between Children And Adults

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S810-S810
Author(s):  
Fatma Hammami ◽  
Makram Koubaa ◽  
Amal Chakroun ◽  
Khaoula Rekik ◽  
Fatma Smaoui ◽  
...  
Keyword(s):  
Lymph Node ◽  
Family History ◽  
Extrapulmonary Tuberculosis ◽  
Diagnostic Delay ◽  
Disease Evolution ◽  
Evolutionary Features ◽  
Significant Difference ◽  
History Of ◽  
Adults And Children ◽  
Lymph Node Tuberculosis

Abstract Background Lymph node tuberculosis (LNTB) represents the most common site of extrapulmonary tuberculosis. Among children, due to non-specific clinical features, the diagnosis is often delayed. We aimed to compare the clinical, therapeutic and evolutionary features of LNTB between adults and children. Methods We conducted a retrospective study including patients hospitalized for LNTB in the infectious diseases and pediatric department between 1993 and 2018. Children aged ≤18 years were included. Results Overall, we encountered 231 cases of LNTB. There were 40 children (17.3%) with a mean age of 11±4 years and 191 adults (82.7%) with a mean age of 42±16 years. As to gender, females were more affected (adults: 67% vs children: 70%), with no significant difference (p >0.05). A family history of tuberculosis was significantly more frequent among children (20% vs 6.3%; p=0.01). Raw milk consumption (38.2% vs 30%; p >0.05) and close contact with animals (29.8% vs 35%; p >0.05) were noted among both adults and children. Fever (53.4% vs 32.5%; p=0.01), night sweats (35.8% vs 10%; p=0.001), loss of appetite (38.2% vs 17.5%; p=0.01) and weight loss (35.1% vs 15%; p=0.01) were significantly more frequent among adults. Tuberculin skin test was positive in 75.8% of the cases among adults and in 86.2% of the cases among children (p >0.05). Multifocal tuberculosis was significantly more frequent among adults (23.8% vs 5.7%; p=0.01). Antitubercular therapy was prescribed for a mean duration of 10±4 months among adults and for 9±3 months among children, with no significant difference (p >0.05). Side effects of antitubercular drugs were more frequent among adults (33% vs 10.3%), with a significant difference (p=0.004). Comparison of the disease evolution showed no significant difference between adults and children, regarding recovery (94.8% vs 90%), relapse (5.2% vs 5%) and death (0.5% vs 2.5%). Conclusion The clinical presentation of LNTB among children was less common and misleading. A family history of tuberculosis and a high index of suspicion might shorten the diagnostic delay. Disclosures All Authors: No reported disclosures

Chest wall mass: what lies beneath?

2018 ◽  
Vol 35 (10) ◽  
pp. 586-586
Author(s):  
Claire Elaine Richards ◽  
Ahmed Mamdouh Taha Mostafa ◽  
Amr Elmoheen
Keyword(s):  
Mycobacterium Tuberculosis ◽  
Medical History ◽  
Chest Wall ◽  
Vital Signs ◽  
Cervical Lymphadenopathy ◽  
Anterior Chest Wall ◽  
List Type ◽  
History Of ◽  
Wall Mass ◽  
Chest Wall Mass

Clinical introductionA 24-year-old Filipino man attended the ED with a 1-month history of a discrete swelling over his upper anterior chest wall that was rapidly increasing in size and tenderness. He denied any other symptoms. His medical history was unremarkable.Examination revealed a tender, 7 cm × 6 cm mass over the upper part of the sternum (figure 1). The surface was smooth, it was immobile, non-compressible and the overlying skin was normothermic but mildly erythematous. Cervical lymphadenopathy was present. His vital signs were normal.Figure 1Chest wall mass.QuestionWhat is the most likely diagnosis?LipomaChondrosarcomaLymphomaMycobacterium tuberculosis (TB)

scholarly journals A Clinical Study on Extrapulmonary Tuberculosis

1970 ◽  
Vol 24 (1) ◽  
pp. 19-28 ◽  
Author(s):  
MM Karim ◽  
SA Choudhury ◽  
MM Husain ◽  
MA Faiz
Keyword(s):  
Lymph Node ◽  
Histopathological Examination ◽  
Extrapulmonary Tuberculosis ◽  
Previous History ◽  
Abdominal Tuberculosis ◽  
Cervical Lymph Nodes ◽  
Economic Class ◽  
History Of ◽  
Tuberculosis Diagnosis ◽  
Lymph Node Tuberculosis

Findings of 80 patients of extra-pulmonary tuberculosis are described in this study. Most of the patients were under 30 years of age (71.2%), female patients were 56.3% and housewives were 37.3%. Lower socio-economic class were commonly affected (66.2%). Eighteen patients (22.5%) were smoker and almost equal number of cases had the history of intake of un-boiled milk. 44% patients were not vaccinated against tuberculosis. 36.2% patients had history of contact with tuberculous patients and 18.8% had previous history of tuberculosis. 70% patients had the history of fever and 30% had history of cough. Significant weight loss was noted in 85% patients. Lymph node tuberculosis was 36.2%, abdominal tuberculosis 35%. Cervical lymph nodes alone (37.9%) were commonly affected among the lymph node tuberculosis. Diagnosis was mainly based on histopathological examination or biopsy of specimen (97.5%) and demonstrations of AFB was possible in 2.5% cases. Along with surgical treatment medical treatment (chemotherapy) were prescribed in every patient. Forty-eight patients came for follow up. All responded to anti tubercular chemotherapy. (J Bangladesh Coll Phys Surg 2006; 24: 19-28)

A case of Fournier’s gangrene diagnosed with POCUS

POCUS Journal ◽  
2019 ◽  
Vol 4 (1) ◽  
pp. 3
Author(s):  
Marco Badinella Martini, MD ◽  
Antonello Iacobucci, MD
Keyword(s):  
Type 2 Diabetes ◽  
Emergency Department ◽  
Alzheimer Disease ◽  
Physical Examination ◽  
Subcutaneous Emphysema ◽  
Vital Signs ◽  
Fournier’S Gangrene ◽  
Fournier's Gangrene ◽  
History Of

An 87-year-old man with a history of type 2 diabetes and severe Alzheimer disease was admitted to the emergency department with a lesion of the perineum for two days. The patient appeared agitated and not collaborating on the visit. His vital signs were normal. Physical examination revealed an edematous, suppurative, and foul-smelling perineal-scrotal lesion, with possible subcutaneous emphysema.

scholarly journals Cervicofacial Herpes Zoster Complicating Ganglion-Pulmonary Tuberculosis: Case Report and Review of the Literature: A Case Report

2021 ◽  
pp. 1-3
Author(s):  
Mohamed Ali GLITI ◽  
◽  
Houda Boudinar ◽  
Sophia Nitassi ◽  
Bencheikh Razika ◽  
...  
Keyword(s):  
Case Report ◽  
Lymph Node ◽  
Herpes Zoster ◽  
Pulmonary Tuberculosis ◽  
Lymph Node Involvement ◽  
Variable Degree ◽  
Tuberculosis Case ◽  
Node Involvement ◽  
History Of ◽  
Lymph Node Tuberculosis

Tuberculosis is an infectious disease; it has a variable degree of presentation, most often pulmonary while the extrapulmonary location is dominated by lymph node involvement, especially cervical. On the other hand, herpes zoster results from the reactivation of the virus that causes varicella. Here, we report the case of cervicofacial herpes zoster complicating ganglion-pulmonary tuberculosis in a 19-year-old female patient with a history of varicella during childhood, who presents bilateral lymphadenopathy, the diagnosis of pulmonary and lymph node tuberculosis is confirmed by histology, she has treated with anti-tuberculosis drugs and the evolution was marked by the presence of lymphadenopathy and the appearance of cervicofacial herpes zoster

scholarly journals Cat scratch disease and lymph node tuberculosis in a colon patient with cancer

2013 ◽  
Vol 2013 (dec12 1) ◽  
pp. bcr2013010424-bcr2013010424 ◽  
Author(s):  
M. Matias ◽  
T. Marques ◽  
M. A. Ferreira ◽  
L. Ribeiro
Keyword(s):  
Lymph Node ◽  
Cat Scratch Disease ◽  
Lymph Node Tuberculosis

Haematuria without diagnosis? Think about the rare causes…

2021 ◽  
Vol 14 (4) ◽  
pp. e240228
Author(s):  
Ana Sofia Esteireiro ◽  
Pedro Santos ◽  
Anabela Bicho
Keyword(s):  
Physical Examination ◽  
Left Renal Vein ◽  
Vital Signs ◽  
Spontaneous Resolution ◽  
Lumbar Pain ◽  
Nutcracker Syndrome ◽  
Paediatric Nephrology ◽  
Macroscopic Haematuria ◽  
History Of ◽  
High Level

We describe a case of a 17-year-old man admitted in the emergency room with a 2-month history of intermittent macroscopic haematuria and left lumbar pain. Physical examination and vital signs were normal. Investigation indicated a recurrent non-glomerular haematuria. The Doppler ultrasound revealed a compression of the left renal vein with upstream dilatation which was subsequently confirmed by CT angiography. These findings are in keeping with a case of nutcracker syndrome (NutS). Although asymptomatic in most cases, it can be a rare cause of haematuria. The teenager was referred to paediatric nephrology and was treated conservatively with spontaneous resolution of macroscopic haematuria. With this case, we would like to highlight that in children or adolescents with haematuria without an apparent cause, a high level of suspicion and appropriate imaging are necessary for the diagnosis of NutS.

scholarly journals Cytomegalovirus-mononucleosis-induced thyroiditis in an immunocompetent patient

2017 ◽  
Vol 2017 ◽  
Author(s):  
V Larouche ◽  
M Tamilia
Keyword(s):  
Physical Examination ◽  
Liver Enzymes ◽  
Hormone Secretion ◽  
Thyroid Storm ◽  
Graves Disease ◽  
List Type ◽  
Thyroid Function Tests ◽  
Elevated Liver Enzymes ◽  
History Of

Summary Enteroviruses, including coxsackieviruses and Echovirus, are well known pathogens responsible for the development of thyroiditis. We describe the case of a 49-year-old woman with no personal or family history of thyroid disease who presented to the emergency room with a two-week history of daily fevers up to 39°C, a sore throat, occasional palpitations and diaphoresis, decreased appetite and an unintentional 10 kg weight loss over the same time course Physical examination revealed mild tachycardia, an intention tremor and a normal-sized, nontender thyroid gland without palpable nodules. The remainder of the physical examination was unremarkable and without stigmata of Graves’ disease. Her initial blood tests revealed overt thyrotoxicosis, elevated liver enzymes, an elevated C-reactive protein, a negative monospot and a positive CMV IgM antibody. Thyroid sonography revealed areas of hypoechogenicity and relatively low vascularity. Fine-needle biopsy showed a lymphocytic infiltrate. The patient was treated symptomatically with propranolol. On follow-up, the patient became euthyroid, and her liver enzymes normalised. Previous cases of CMV-induced thyroiditis occurred in immunosuppressed patients. This is the first reported case of a CMV-mononucleosis-induced thyroiditis in an immunocompetent adult patient and serves as a reminder that viral illnesses are a common cause of thyroiditis with abnormal liver enzymes. Learning points: The differential diagnosis of thyrotoxicosis with abnormal liver enzymes includes severe hyperthyroidism and thyroid storm caused by Graves’ disease as well as the thyrotoxic phase of a thyroiditis, usually caused by a virus such as coxsackievirus or, in this case, cytomegalovirus. Cytomegalovirus appears to be a recently recognized causal agent for thyroiditis, both in immunosuppressed and immunocompetent patients. Careful follow-up of thyroid function tests in patients with thyroiditis allows clinicians to determine if patients’ thyroid hormone secretion normalizes or if they remain hypothyroid.

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