Gowrinath K, Nizamiz Mohammed Ismail, Kumar B E Phanil, Suneetha P, Kishor V H
Department of Pulmonary Medicine, Narayana Medical College, Nellore-524002, Andhra Pradesh.
Indian J Tuberc. 2011 Jan;58(1):35-7.
Lymphadenopathy is the most common form of extrapulmonary tuberculosis; cervical region being the most frequent site. Yet, tuberculous cervical lymphadenopathy is rarely associated with Internal Jugular Vein (IJV) thrombosis. We report right IJV thrombosis with isolated cervical tuberculous lymphadenopathy in a 22-year-old woman. Anti-tuberculous treatment resulted in complete regression of lymphadenopathy but anticoagulation treatment failed to restore the caliber of thrombosed IJV to normal. Thrombosis of adjacent IJV is a potential complication of delay in diagnosis and treatment of cervical lymphnode tuberculosis.
淋巴结病是肺外结核最常见的形式；颈部是最常受累的部位。然而，结核性颈部淋巴结病很少与颈内静脉（IJV）血栓形成相关。我们报告了一名22岁女性，患有孤立性颈部结核性淋巴结病伴右侧IJV血栓形成。抗结核治疗使淋巴结病完全消退，但抗凝治疗未能使血栓形成的IJV管径恢复正常。颈部淋巴结结核诊断和治疗延迟的一个潜在并发症是相邻IJV血栓形成。
