Abstract
A case of tuberculous cervical lymphadenitis in patient with dialysis is reported.
A 50-year-old woman who was seen with the chief complaint of rapidly swelling around the left submandibular region. A CT scan showed tumorous mass ranging from submandibular gland to the hyoid bone. Although tuberculin skin test was positive, a chest X-ray finding showed no pulmonary tuberculosis and tubercle bacilli was not detected from sputa. The clinical findings suspected a tuberculous cervical lymphadenitis or a malignant Tumor arising in the submandibular region. Under general anesthesia, upper neck dissection was performed. The resected material was histopathologically interpreted as tuberculous lesions. Thus a diagnosis of tuberculous lymphadenitis was made on the basis of these findings.
Dialysis patients are known to be immunodeficient. Percentages of lymphnode tuberculosis among all tuberculosis are higher in dialysis patient than in the general population. It is important that timely proper dosage of anti-tuberculous drugs must be administered with care to side effects.
