[A case of axillary lymph node tuberculosis with paradoxical worsening in breast lesion].
A 80-year-old woman was admitted to our hospital because of left axillary swelling. Needle biopsy specimen showed negative results on a smear for acid-fast bacilli and PCR. The histological findings showed epithelioid cell granuloma with caseous necrosis. QFT TB-2G showed positivity of 1.9 IU/ml in ESAT-6. We diagnosed tuberculous lymphadenopathy and administered antituberculous drugs. After 3 weeks of treatment, in spite of the regression of lymphadenopathy, mammary swelling had progressed. We performed a biopsy of the mammary lesion, but did not detect any abnormal findings. As the mammary lesion had regressed by the continued treatment of antituberculous drugs, we thought the mammary swelling was paradoxical worsening.
Kobayashi
Kanako
K
Department of Pulmonary Medicine, National Hospital Organization Matsue National Hospital, 5-8-31, Agenogi, Matsue-shi, Shimane 690-8556 Japan. koba@matsue.hosp.go.jp
Yano
Shuichi
S
Ikeda
Toshikazu
T
Kadowaki
Toru
T
Wakabayashi
Kiryo
K
Kimura
Masahiro
M
Ishikawa
Shigenori
S
Takeyama
Hiroyasu
H
D000369:Aged, 80 and over; D001365:Axilla; D001941:Breast Diseases / Q000473:pathology*; D005260:Female; D006801:Humans; D014388:Tuberculosis, Lymph Node / Q000188:drug therapy / Q000473:pathology*