[Infraorbitally located tuberculous lypmhadenitis: a case report].
Tuberculosis, which is one of the oldest diseases of the human kind, is again becoming an important health issue in recent years. Although mostly seen in lungs, it can also be localized in the lymph nodes, skin, meninges, spleen, surrenal tissues, which is referred to as extrapulmonary forms of tuberculosis. Tuberculous lymphadenitis is the most common clinical form of extrapulmonary tuberculosis and it is generally localized in cervical lymph nodes. A 50-year-old female patient presented with a hard fixed mass originating from medial canthus ending at nasolabial sulcus. In the magnetic resonance imaging examination, a solid contrast enhancing mass 20 x 18 x 15 mm in size, which was isointensely monitored with muscular structures in T1 based visuals and hyperintense in T2 sequences, was seen. The mass was excised under general anesthesia and histopathological examination revealed tuberculous lymphadenitis. Thus, the case is discussed according to literature and shows us that tuberculosis may be the reason for lymphadenitis in the areas out of the cervical region and it should always be kept in mind in the differential diagnosis.
Department of Otolaryngology, Lütfi Kirdar Training and Research Hospital, Istanbul, Turkey.
Umit
U
Hardal
Gökhan
G
Altin
Mustafa
M
Paksoy
Sedat
S
Aydin
Alev
A
Oktay
D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D013902:Radiography, Thoracic; D014388:Tuberculosis, Lymph Node / Q000473:pathology* / Q000601:surgery