| pneumopericardium is rare in tuberculous mediastinal lymphadenitis. Much rarer is the association of pneumopericardium with cardiac tamponade. The case is reported of a 29-year-old patient in whom tuberculous mediastinal lymphadenitis resulted in a fatal tension pneumopericardium. ( info) |
152/291. Cutaneous vasculitis associated with tuberculosis and its treatment. Two patients with pulmonary tuberculosis developed cutaneous vasculitis after antituberculosis treatment and a patient with tuberculous lymphadenitis developed vasculitis at presentation before drug therapy. The cutaneous vasculitis probably represented immunological reactions to tubercle bacilli and/or rifampicin with antibodies and immune complex formation. ( info) |
153/291. Computed tomography of esophagomediastinal fistula in tuberculous mediastinal lymphadenitis. The CT findings are described in five patients with esophagomediastinal fistula due to tuberculous lymphadenitis. In all five patients periesophageal amorphous gas collections were found along with enlarged mediastinal lymph nodes. In four patients esophagograms demonstrated the fistulas. All fistulas closed with antituberculous therapy alone. The presence of periesophageal gas in patients with tuberculous mediastinal lymphadenitis suggests esophago-nodal fistula. The treatment of choice is antituberculous therapy. ( info) |
154/291. Submandibular tuberculous lymphadenitis (scrofula): report of two cases. Two cases of scrofula are presented. These cases were very different in terms of age of the patient, duration of the lesion, and the clinical course. The final diagnosis was based on the histologic findings and tuberculin tests. ( info) |
155/291. Tuberculosis of a periglandular lymphnode presenting as a parotid tumor. The presentation of tuberculosis as isolated cervical adenopathy is not a common entity. The presentation of this disease as a parotid mass has rarely been reported. In most instances, direct parenchymal involvement exists, although involvement of intraglandular lymphnodes has also been reported. In most cases, an initial misdiagnosis of a parotid tumor, usually a pleomorphic adenoma, was made. We report a case of a 57-year-old patient with a left parotid mass of two years' duration. The patient was referred because of the development of firm, nontender, ipsilateral cervical adenopathy, suggesting possible malignancy. The course of the disease, diagnosis, and treatment are reported. The relevant literature is reviewed. ( info) |
156/291. A rare cause of small bowel perforation by intestinal and peritoneal tuberculosis. Tuberculosis of the intestine and peritoneum has become a rare disease. This is the result of a general decrease in pulmonary and extrapulmonary tuberculosis, rigorous BCG vaccination programs, and the eradication of tuberculosis in cattle. A case of tuberculosis in this frequent location, which was discovered unexpectedly during an emergency laparotomy, is reportet. ( info) |
| infection with mycobacterium tuberculosis is frequently found in patients with acquired immunodeficiency syndrome and can result in diffuse lymphadenopathy from disseminated disease. A case is presented of esophageal erosion and perforation secondary to mediastinal lymph node enlargement from mycobacterium tuberculosis in a patient positive for human immunodeficiency virus. Emergent surgical intervention required resection of the perforated esophagus, end-cervical esophagostomy, gastrostomy, and feeding jejunostomy. Long-term prognosis is poor owing to acquired immunodeficiency syndrome, therefore, reconstruction at a later date is uncertain. ( info) |
158/291. Unusual presentation of tuberculosis of the head and neck region. Report of three cases. Three cases are reported in which the diagnosis of tuberculosis has only been made following surgery for suspected salivary gland tumor, sebaceous cyst and carotid body tumour. Surgery could have been avoided if tuberculosis had been considered in the initial differential diagnosis. ( info) |
159/291. Mycobacterial cervical lymphadenitis. Mycobacterial cervical lymphadenitis remains a diagnostic challenge for many clinicians despite current advances in diagnostic laboratory techniques. Although much has been done to prevent tuberculosis, cases of mycobacterial disease in endemic form still occur. Six hundred and forty-five patients with tuberculosis were diagnosed and treated at the American University of Beirut Medical Center during the period from 1970 to 1985. Twenty-nine (4.5%) of these patients had proven mycobacterial cervical lymphadenitis. We stress histopathologic examination as the single most important means for diagnosing mycobacterial cervical lymphadenitis. Operation in combination with antituberculous chemotherapy remain the treatments of choice. ( info) |
| Granulomatous breast diseases are rare and may be indistinguishable clinically from carcinoma. Four cases illustrating the various modes of presentation and diagnostic difficulties are presented. Guidelines for management are suggested. ( info) |