Fangrat Adam, Domagała-Kulawik Joanna, Krenke Rafał, Safianowska Aleksandra, Walkiewicz Renata, Chazan Ryszarda
Katedra i Klinika Chorób Wewnetrznych, Pneumonologii i Alergologii, AM w Warszawie.
Pneumonol Alergol Pol. 2006;74(1):126-8.
Tuberculous lymphadenitis is one of the most common extrapulmonary manifestations of tuberculosis. The most common lymph nodes involved are in the cervical region. Lymphadenitis due to M. tuberculosis generally presents with enlarging neck lymph nodes over weeks or months associated with fever, weight loss and fatigue. Fine needle aspiration (FNA) of affected lymph nodes has been shown to yield a high sensitivity and specificity in the diagnosis of tuberculous lymphadenitis. Specimens should be examined cytologically, as well as by AFB smear and cultures. The time between the onset of symptoms, clinical presentation and final diagnosis is often too long. We present a case of 60 years old man with tuberculous lymphadenitis, initially suspected of lymphoproliferative disease.
结核性淋巴结炎是结核病最常见的肺外表现之一。最常受累的淋巴结位于颈部区域。由结核分枝杆菌引起的淋巴结炎通常表现为在数周或数月内颈部淋巴结肿大，并伴有发热、体重减轻和疲劳。对受累淋巴结进行细针穿刺抽吸（FNA）已被证明在结核性淋巴结炎的诊断中具有较高的敏感性和特异性。标本应进行细胞学检查，以及抗酸杆菌涂片和培养。从症状出现、临床表现到最终诊断之间的时间往往过长。我们报告一例60岁男性结核性淋巴结炎患者，最初怀疑为淋巴增殖性疾病。
