Miliary tuberculosis with unusual matted giant mesenteric lymph nodes.
We report a case of miliary tuberculosis in a 10-month old female with unusual matted giant mesenteric lymph nodes. She presented with prolonged fever and poor feeding for two months. With the evidence of miliary pattern in chest X-ray and the positive acid-fast bacilli from the sputum, she was treated with antituberculous chemotherapy. She died from pneumomediastinum and pneumopericardium. Post-mortem findings disclosed miliary tuberculosis involving major organs. Acid-fast bacilli were numerous. Large matted mesenteric lymph nodes measuring 10 x 6 x 5 cm3 were noted. A strikingly large palpable matted mesenteric lymph nodes in suspected miliary tuberculosis should not be confused with tumors in the children.
Viriyavejakul
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P
Department of Tropical Pathology, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
Sirikulchayanonta
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V
D005260:Female; D006801:Humans; D007223:Infant; D008198:Lymph Nodes / Q000473:pathology*; D008478:Mediastinal Emphysema / Q000473:pathology; D011026:Pneumopericardium / Q000473:pathology; D013785:Thailand; D014388:Tuberculosis, Lymph Node / Q000473:pathology*; D014391:Tuberculosis, Miliary / Q000473:pathology*