Nephrology, Father Muller Medical College, Mangalore, Karnataka, India
Pathology, Father Muller Medical College, Mangalore, Karnataka, India.
BMJ Case Rep. 2023 Jul 18;16(7):e253055. doi: 10.1136/bcr-2022-253055.
This case report presents the clinical details, investigations, diagnosis, treatment and outcomes of a male patient in his 50s who presented with weight loss and fatigue. On evaluation, he had axillary lymphadenopathy, along with hypercalcaemia and elevated serum creatinine levels. The patient was diagnosed with tuberculous lymphadenitis based on lymph node biopsy and positive tuberculosis (TB)-PCR results. Treatment involved hydration, salmon calcitonin and zoledronic acid, leading to symptomatic improvement. This case highlights the rarity of hypercalcaemia and renal dysfunction in TB and underscores the importance of considering this entity in the differential diagnosis.
本病例报告介绍了一位 50 多岁男性患者的临床详情、检查、诊断、治疗和转归，他因体重减轻和疲劳就诊。评估时，患者出现腋窝淋巴结病，同时伴有高钙血症和血清肌酐水平升高。患者的淋巴结活检和结核（TB）-PCR 结果阳性，诊断为结核性淋巴结炎。治疗包括补液、鲑鱼降钙素和唑来膦酸，症状得到改善。本病例强调了 TB 中高钙血症和肾功能障碍的罕见性，并突出了在鉴别诊断中考虑这种情况的重要性。
