Tuberculosis of the cystic duct lymph node
AUTOR(ES)
Melo, Valdinaldo Aragão de, Melo, Gustavo Barreto de, Silva, Renata Lemos, Piva, Nestor, Almeida, Maria Luiza Dória
FONTE
Brazilian Journal of Infectious Diseases
DATA DE PUBLICAÇÃO
2004-02
RESUMO
Tuberculosis of the cystic duct lymph node associated with cholelithiasis is rare. We report a case of a 40 year-old woman with this pathology. She presented with anorexia, biliary colic, postprandial fullness and fever. Imaging studies revealed cholelithiasis and several visible portal lymph nodes. Cholecystectomy was performed and histopathological examination showed tuberculosis of the cystic duct lymph node without affecting the gallbladder. The presence of gallstones and lymphadenopathy in computed tomography, associated with persistent fever and symptoms that resemble cholecystitis, should cause suspicion of tuberculosis. However, diagnosis is usually achieved by microscopic appearance of caseating granulomas and isolation of Mycobacterium tuberculosis. The treatment in this case consisted of cholecystectomy and antitubercular chemotherapy.
Documentos Relacionados
- Lymph node tuberculosis presenting as chyluria.
- Diagnosis of cutaneous tuberculosis (lymph node scrofuloderma) using the Xpert MTB/RIF® method,
- Unusual spinal tuberculosis after adequate chemotherapy for lymph node tuberculosis in an immunocompetent man.
- Tuberculosis and metastatic carcinoma coexistence in axillary lymph node: A case report
- Lymph pathways of the medial retropharyngeal lymph node in dogs.