title: [A case of cervical and mediastinal lymph nodes tuberculosis, tuberculous pleurisy, spinal caries and cold abscess in the anterior chest wall].
abstract: A 61-year-old woman with schizophrenia that had been treated in a psychiatric hospital was admitted to our hospital because of subileus and back pain. Though subileus was improved, she had a sudden attack of fever 7 days later and developed right pleural effusion, a cold abscess in the anterior chest wall and swelling of a thumb-sized right cervical lymph node which broke through the skin. We made a diagnosis of cervical and mediastinal lymph nodes tuberculosis, tuberculous pleurisy, spinal caries and cold abscess in the anterior chest wall due to the biopsy findings of the specimen taken from the cervical lymph node, examination of pleural effusion, chest CT, bacteriological examination of the cold abscess and spinal MRI. We started chemotherapy with the antituberculous drugs (HRSZ) and symptoms except back pain improved. She complained of paresis of the both lower extremities, which completely paralyzed 8 months later in spite of continued chemotherapy. Thereafter her paralysis was gradually improved and she was able to walk by herself after 12 months chemotherapy.
authors.affiliation: Department of Intermedicine, National Omuta Hospital, Fukuoka, Japan. renkei@oomuta.hosp.jo.jp
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Iwata
authors.forename: Akiko
authors.initials: A
authors.lastname: Ishimatsu
authors.forename: Minako
authors.initials: M
authors.lastname: Hamada
authors.forename: Mikiko
authors.initials: M
authors.lastname: Emori
authors.forename: Yukari
authors.initials: Y
authors.lastname: Ikedo
authors.forename: Kentaro
authors.initials: K
authors.lastname: Wakamatsu
authors.forename: Nobuhiko
authors.initials: N
authors.lastname: Nagata
authors.forename: Akira
authors.initials: A
authors.lastname: Kajiki
authors.forename: Yasuko
authors.initials: Y
authors.lastname: Harada
authors.forename: Susumu
authors.initials: S
authors.lastname: Harada
authors.forename: Yoshinari
authors.initials: Y
authors.lastname: Kitahara
mesh_terms: D000038:Abscess / Q000150:complications*; D005260:Female; D006801:Humans; D008482:Mediastinum; D008875:Middle Aged; D013896:Thoracic Diseases / Q000150:complications*; D014388:Tuberculosis, Lymph Node / Q000150:complications*; D014394:Tuberculosis, Osteoarticular / Q000150:complications*; D014396:Tuberculosis, Pleural / Q000150:complications*