161/291. Scrofuloderma with inguinal and genital syndrome--a case report. A case of scrofuloderma presented as lymphogranuloma venereum closely mimicking its inguinal and genital syndrome. A lymph node biopsy confirmed the diagnosis. ( info) |
162/291. US and CT findings in biliary obstruction due to tuberculous adenitis in the periportal area. 2 cases. Ultrasound and CT findings in two patients with biliary obstruction due to tuberculous adenitis in the periportal space and hepatoduodenal ligament are reported. ( info) |
163/291. Tuberculous mediastinal lymphadenitis in an adult patient. A 40-year-old woman was presented with a fever, which proved to be due to mediastinal tuberculous lymphadenitis. Up to 1988, 149 cases of tuberculous mediastinal lymphadenitis have been reported in the literature in japan. This case was very rare because a chest plain film revealed neither mediastinal widening nor lung parenchymal involvement. On the other hand, a CT scan of the chest was very useful because it showed unsuspected mediastinal lymph nodes enlargement. The diagnosis of tuberculous mediastinal lymphadenitis was made by the findings of a supraclavocular lymph node biopsy, which showed granulomas, compatible with tuberculosis. A good response from the patient to antituberculous therapy confirmed this diagnosis. ( info) |
164/291. isoniazid-associated hepatitis in a Melanesian. A patient with acute hepatitis associated with isoniazid therapy is described. The relevance fo isoniazid hepatotoxicity in Melanesian populations is discussed. Guidelines for recognition and management of INH-induced hepatitis are suggested. ( info) |
165/291. Huge prepericardial tuberculous abscess in a 2-year-old child. A 2-year-old girl presented with recurrent episodes of respiratory infection and was not thriving well. Investigation showed a huge cystic mass in the anterior mediastinum just in front of the heart. Exploration showed a massive cystic swelling with enormously thickened wall anterior to the heart. The mass was excised, and histopathology showed it to be of tuberculous origin. ( info) |
166/291. Polyclonal chromosomal evolution in a benign mixed salivary gland tumor. Banding analyses of a human benign pleomorphic adenoma in the parotid gland revealed a polyclonal pattern where structural rearrangements predominated. These deviations were different from the anomalies previously observed in 100 mixed tumors. The reason found for the differences in all likelihood was x-ray treatment of tuberculous lymphadenitis in the neck during childhood. Implications regarding origin and development of pleomorphic adenomas are discussed. ( info) |
167/291. Intrathoracic lymphadenopathy in postprimary tuberculosis. In the past, hilar or mediastinal lymphadenopathy was considered by many to be a feature of only the primary or first infection with mycobacterium tuberculosis, and to exclude the diagnosis of reactivation or postprimary tuberculosis. In a series of 56 adult patients with documented postprimary disease due to M tuberculosis, we found hilar or mediastinal lymphadenopathy in three cases (5%). Although intrathoracic lymphadenopathy was more common in primary tuberculosis, we do not believe that intrathoracic lymphadenopathy is as specific for primary tuberculosis, particularly in the adult, as was once thought. For this reason, we believe that the roentgenographic demonstration of intrathoracic lymphadenopathy should not be used as a definitive research or clinical criterion for primary tuberculosis in an adult. ( info) |
| granuloma inguinale (donovanosis) is commonly thought to be a superficial disease, which spreads by continuity and does not affect the regional lymph nodes. Two patients with the disease affecting lymph nodes in the neck are reported from a series of 108 seen in a continuing study of granuloma inguinale. An immunofluorescent antibody test is described that showed antigenic relatedness between the intracellular organisms in these patients and in patients with typical genital granuloma inguinale. lymphadenitis associated with granuloma inguinale appears to be a stage in the pathogenesis of the pseudobubo, an uncommon feature of this disease. ( info) |
169/291. Clinical features of abdominal tuberculosis. The clinical features of 81 cases of abdominal tuberculosis (TB) are presented. The peritoneum was involved in 41 patients, the ileocecal area in 17, the anorectal area in 16, and mesenteric glands in 8. There was one case each involving the liver and sigmoid colon. Most patients were young women. The tuberculin reaction was significant in 83% of patients tested, and 54% had evidence of TB elsewhere. Tuberculous peritonitis was more common in native North American Indians and presented as an acute abdomen, abdominal tumor, or cirrhosis. Asians developed the majority of ileocecal and mesenteric lymph node disease and were frequently diagnosed as having Crohn's disease, appendicitis, or cancer. Anorectal cases presented with fistulae or abscesses and usually had concomitant pulmonary TB. The disease was fatal in five patients (6%), four of whom were diagnosed only after death. One noncompliant patient had a relapse. All other patients were cured after receiving treatment. ( info) |
170/291. Horner's syndrome and tuberculosis. A case report. Horner's syndrome and recurrent laryngeal palsy are rare complications of cervical tuberculous lymphadenopathy. A case, which mimicked malignant disease, is reported. ( info) |