ТУБЕРКУЛОЗНИ ЛИМФАДЕНИТИС ЦЕРВИКОМЕДИЈАСТИНУМА

Abstract

Tuberculous lymphadenitis is an uncommon form of extrapulmonary tuberculosis. We report on a case of isolated Cervicomediastinal tuberculous lymphadenitis without parenhimal involvement. A 49-year old woman was hospitalized with a four week hystory of night sweats and weigth loss. Plain chest radiography disclosed mediastinal mass of the right side. Echocardiographic examination revealed a soft tissue mass below the ascending aorta and aortic arch causing moderate narrowing of the right ventricular outflow tract and the main pulmonary artery. Computed tomographic scanning showed soft tissue mass in the middle mediastinum surrouding the great vessels extending posteriorly with moderate compression of trachea. Histological examination of the cervical mass revealed caseating granuloma containing acidalcohol fast bacillus. Antituberculous chemiotherapy was started.

Keywords: cervicomediastinal, tuberculous, limphadenitis