Internal Jugular Vein Thrombosis in Isolated Tuberculous Cervical Lymphadenopathy
Tuberculosis is a common infectious disease with a high prevalence in developing countries and presents a major public health issue. Internal jugular vein (IJV) thrombosis is a rare complication in tuberculous cervical lymphadenopathy. We report a case of 26-year male patient with a history of low-g...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Radiology |
| Online Access: | http://dx.doi.org/10.1155/2016/5184196 |
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| author | Sanjay Khaladkar Avadhesh Chauhan Arijit Ghosh Kunaal Jain Surbhi Chauhan |
| author_facet | Sanjay Khaladkar Avadhesh Chauhan Arijit Ghosh Kunaal Jain Surbhi Chauhan |
| author_sort | Sanjay Khaladkar |
| collection | DOAJ |
| description | Tuberculosis is a common infectious disease with a high prevalence in developing countries and presents a major public health issue. Internal jugular vein (IJV) thrombosis is a rare complication in tuberculous cervical lymphadenopathy. We report a case of 26-year male patient with a history of low-grade evening rise in fever, dry cough, loss of appetite, and loss of weight with swelling in lower neck on right side. Ultrasonography (USG) neck showed well-defined hypoechoic lymph nodes posterior to right IJV and common carotid artery in the lower neck at level IV and in the right supraclavicular region showing central necrotic areas with adjoining IJV thrombosis. The association between tuberculosis and deep vein thrombosis is rare. Awareness of IJV thrombosis in isolated cervical lymphadenopathy needs high diagnostic suspicion and prompt treatment to avoid fatal complication. Our case is rare as there was isolated tuberculous cervical lymphadenopathy with adjoining IJV thrombosis. Both USG and computed tomography (CT) are accurate and reliable radiological investigations for detecting IJV thrombosis along with cervical lymph nodes. They are useful in assessing surrounding soft tissue and fat planes and knowing the size and extent of cervical lymphadenopathy. USG is inexpensive and readily available for monitoring response to treatment. |
| format | Article |
| id | doaj-art-cd0457fc422e47cf8a106ee773ad9463 |
| institution | Kabale University |
| issn | 2090-6862 2090-6870 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
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| series | Case Reports in Radiology |
| spelling | doaj-art-cd0457fc422e47cf8a106ee773ad94632025-02-03T01:10:34ZengWileyCase Reports in Radiology2090-68622090-68702016-01-01201610.1155/2016/51841965184196Internal Jugular Vein Thrombosis in Isolated Tuberculous Cervical LymphadenopathySanjay Khaladkar0Avadhesh Chauhan1Arijit Ghosh2Kunaal Jain3Surbhi Chauhan4Department of Radio-Diagnosis, Dr. D. Y. Patil Medical College and Research Center, Pimpri, Pune, IndiaDepartment of Radio-Diagnosis, Dr. D. Y. Patil Medical College and Research Center, Pimpri, Pune, IndiaDepartment of Radio-Diagnosis, Dr. D. Y. Patil Medical College and Research Center, Pimpri, Pune, IndiaDepartment of Radio-Diagnosis, Dr. D. Y. Patil Medical College and Research Center, Pimpri, Pune, IndiaDepartment of Radio-Diagnosis, Dr. D. Y. Patil Medical College and Research Center, Pimpri, Pune, IndiaTuberculosis is a common infectious disease with a high prevalence in developing countries and presents a major public health issue. Internal jugular vein (IJV) thrombosis is a rare complication in tuberculous cervical lymphadenopathy. We report a case of 26-year male patient with a history of low-grade evening rise in fever, dry cough, loss of appetite, and loss of weight with swelling in lower neck on right side. Ultrasonography (USG) neck showed well-defined hypoechoic lymph nodes posterior to right IJV and common carotid artery in the lower neck at level IV and in the right supraclavicular region showing central necrotic areas with adjoining IJV thrombosis. The association between tuberculosis and deep vein thrombosis is rare. Awareness of IJV thrombosis in isolated cervical lymphadenopathy needs high diagnostic suspicion and prompt treatment to avoid fatal complication. Our case is rare as there was isolated tuberculous cervical lymphadenopathy with adjoining IJV thrombosis. Both USG and computed tomography (CT) are accurate and reliable radiological investigations for detecting IJV thrombosis along with cervical lymph nodes. They are useful in assessing surrounding soft tissue and fat planes and knowing the size and extent of cervical lymphadenopathy. USG is inexpensive and readily available for monitoring response to treatment.http://dx.doi.org/10.1155/2016/5184196 |
| spellingShingle | Sanjay Khaladkar Avadhesh Chauhan Arijit Ghosh Kunaal Jain Surbhi Chauhan Internal Jugular Vein Thrombosis in Isolated Tuberculous Cervical Lymphadenopathy Case Reports in Radiology |
| title | Internal Jugular Vein Thrombosis in Isolated Tuberculous Cervical Lymphadenopathy |
| title_full | Internal Jugular Vein Thrombosis in Isolated Tuberculous Cervical Lymphadenopathy |
| title_fullStr | Internal Jugular Vein Thrombosis in Isolated Tuberculous Cervical Lymphadenopathy |
| title_full_unstemmed | Internal Jugular Vein Thrombosis in Isolated Tuberculous Cervical Lymphadenopathy |
| title_short | Internal Jugular Vein Thrombosis in Isolated Tuberculous Cervical Lymphadenopathy |
| title_sort | internal jugular vein thrombosis in isolated tuberculous cervical lymphadenopathy |
| url | http://dx.doi.org/10.1155/2016/5184196 |
| work_keys_str_mv | AT sanjaykhaladkar internaljugularveinthrombosisinisolatedtuberculouscervicallymphadenopathy AT avadheshchauhan internaljugularveinthrombosisinisolatedtuberculouscervicallymphadenopathy AT arijitghosh internaljugularveinthrombosisinisolatedtuberculouscervicallymphadenopathy AT kunaaljain internaljugularveinthrombosisinisolatedtuberculouscervicallymphadenopathy AT surbhichauhan internaljugularveinthrombosisinisolatedtuberculouscervicallymphadenopathy |