Anterior Mediastinal Mass: A Rare Presentation of Tuberculosis
We report a case of a 14-year-boy who presented to us with a low-grade fever with evening rise for 9 months. Along with this, the patient also reported a reduction in his appetite and body weight. He had a mild dry cough but no respiratory symptoms otherwise. There was no other localization for feve...
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2011-01-01
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Series: | Journal of Tropical Medicine |
Online Access: | http://dx.doi.org/10.1155/2011/635385 |
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author | Gopi C. Khilnani Neetu Jain Vijay Hadda Sudheer K. Arava |
author_facet | Gopi C. Khilnani Neetu Jain Vijay Hadda Sudheer K. Arava |
author_sort | Gopi C. Khilnani |
collection | DOAJ |
description | We report a case of a 14-year-boy who presented to us with a low-grade fever with evening rise for 9 months. Along with this, the patient also reported a reduction in his appetite and body weight. He had a mild dry cough but no respiratory symptoms otherwise. There was no other localization for fever on history. He received antitubercular therapy, based on abnormal chest radiograph. However, there was no relief in his symptoms. General physical examination revealed mild fever. Systemic examination was unremarkable. Blood investigations done for fever were noncontributory. Computed tomographic (CT) scan of the chest revealed a mediastinal mass compressing the trachea. The possibilities of lymphoma or germ cell tumour were considered. A biopsy from the mass under CT guidance was performed. The histopathology revealed multiple epithelioid cell granulomas with necrosis, and the diagnosis of tuberculosis was made. The clinical course of this patient and the relevant literature is presented in this paper. |
format | Article |
id | doaj-art-9394cfdecc0c47b988cb3e263f0ee20d |
institution | Kabale University |
issn | 1687-9686 1687-9694 |
language | English |
publishDate | 2011-01-01 |
publisher | Wiley |
record_format | Article |
series | Journal of Tropical Medicine |
spelling | doaj-art-9394cfdecc0c47b988cb3e263f0ee20d2025-02-03T06:08:00ZengWileyJournal of Tropical Medicine1687-96861687-96942011-01-01201110.1155/2011/635385635385Anterior Mediastinal Mass: A Rare Presentation of TuberculosisGopi C. Khilnani0Neetu Jain1Vijay Hadda2Sudheer K. Arava3Department of Medicine, All India Institute of Medical Sciences, New Delhi 110 028, IndiaDepartment of Medicine, All India Institute of Medical Sciences, New Delhi 110 028, IndiaDepartment of Medicine, All India Institute of Medical Sciences, New Delhi 110 028, IndiaDepartment of Pathology, All India Institute of Medical Sciences, New Delhi 110 028, IndiaWe report a case of a 14-year-boy who presented to us with a low-grade fever with evening rise for 9 months. Along with this, the patient also reported a reduction in his appetite and body weight. He had a mild dry cough but no respiratory symptoms otherwise. There was no other localization for fever on history. He received antitubercular therapy, based on abnormal chest radiograph. However, there was no relief in his symptoms. General physical examination revealed mild fever. Systemic examination was unremarkable. Blood investigations done for fever were noncontributory. Computed tomographic (CT) scan of the chest revealed a mediastinal mass compressing the trachea. The possibilities of lymphoma or germ cell tumour were considered. A biopsy from the mass under CT guidance was performed. The histopathology revealed multiple epithelioid cell granulomas with necrosis, and the diagnosis of tuberculosis was made. The clinical course of this patient and the relevant literature is presented in this paper.http://dx.doi.org/10.1155/2011/635385 |
spellingShingle | Gopi C. Khilnani Neetu Jain Vijay Hadda Sudheer K. Arava Anterior Mediastinal Mass: A Rare Presentation of Tuberculosis Journal of Tropical Medicine |
title | Anterior Mediastinal Mass: A Rare Presentation of Tuberculosis |
title_full | Anterior Mediastinal Mass: A Rare Presentation of Tuberculosis |
title_fullStr | Anterior Mediastinal Mass: A Rare Presentation of Tuberculosis |
title_full_unstemmed | Anterior Mediastinal Mass: A Rare Presentation of Tuberculosis |
title_short | Anterior Mediastinal Mass: A Rare Presentation of Tuberculosis |
title_sort | anterior mediastinal mass a rare presentation of tuberculosis |
url | http://dx.doi.org/10.1155/2011/635385 |
work_keys_str_mv | AT gopickhilnani anteriormediastinalmassararepresentationoftuberculosis AT neetujain anteriormediastinalmassararepresentationoftuberculosis AT vijayhadda anteriormediastinalmassararepresentationoftuberculosis AT sudheerkarava anteriormediastinalmassararepresentationoftuberculosis |