Bohsas Haidara, Sharif Ahmed Eman Mohammed, Bakkour Agyad, Kashkash Fateh, Khairy Lina Taha, Alibrahim Hidar
Faculty of Medicine, Aleppo University, Aleppo, Syria.
NILE VALLY University, Atbra, Sudan.
Ann Med Surg (Lond). 2022 Apr 28;78:103658. doi: 10.1016/j.amsu.2022.103658. eCollection 2022 Jun.
Pulmonary tuberculosis is a disease that may effect on many organs such as the lung, peritoneum and spread to adjacent lymph nodes in advanced stages, but it is rarely to be as an isolated lymph node without accompanying pulmonary or extra pulmonary tuberculosis in healthy persons.
A 40 -Years-female presented with a chief complaint of Pain in the lateral side of the Right humerus above the elbow, with no medical history, on clinical examination there was a painful palpable mass in mentioned place. The mass was removed surgically under local anesthesia and sent for pathological autopsy. The result of the pathological autopsy was tuberculosis lymphadenitis. After that, the patient has been sent to a specialized center for tuberculosis to receive the suitable treatment.
More studies should be done to investigate the potential causes of these unusual cases and finding the accurate physiological mechanisms that inhibit the usual manifestations of tuberculosis in these patients to avoid advanced complications.
Isolated tuberculosis lymphadenitis in healthy persons is unusual case in the literature, which the clinical doctors should be careful in examination the patients who admitting with abnormal lymph nodes and unknown history exposure to tuberculosis. .
肺结核是一种可累及肺部、腹膜等多个器官的疾病，在疾病晚期会扩散至邻近淋巴结，但在健康人群中，孤立性淋巴结结核且无伴发肺结核或肺外结核的情况较为罕见。
一名40岁女性，主诉右肱骨肘部上方外侧疼痛，无病史。临床检查发现上述部位有一触痛性肿块。该肿块在局部麻醉下手术切除并送检病理检查。病理检查结果为结核性淋巴结炎。之后，患者被转至结核病专科医院接受适当治疗。
需要开展更多研究以探究这些不寻常病例的潜在病因，并找出抑制这些患者结核病常见表现的准确生理机制，以避免出现晚期并发症。
健康人群中的孤立性结核性淋巴结炎在文献中属罕见病例，临床医生在检查有异常淋巴结且无已知结核接触史的患者时应谨慎。
