title: A young 20-year-old woman with an atypical tuberculin reaction.
abstract: A 20-year-old female patient presented with fever and swelling in the neck accompanied by anorexia and weight loss. The clinical examination revealed a febrile patient with diffuse cervical lymphadenopathy. Routine investigations were negative. A 5TU (tuberculin units) tuberculin skin test (Mantoux test) was positive with an induration of 52 × 40 mm after 72 h with central blistering, exudation and ulceration. Aspiration cytology from the cervical lymph node revealed the presence of caseating granulomas. The patient responded completely to antitubrecular therapy. Enhanced-tuberculin reactions may occur on occasion in tuberculosis.
authors.affiliation: Department of Internal Medicine, SheriKashmir Institute of Medical Sciencess, Srinagar, Jammu and Kashmir, India.
authors.forename: Umar H
authors.initials: UH
authors.lastname: Khan
authors.forename: Parvaiz A
authors.initials: PA
authors.lastname: Koul
mesh_terms: D005260:Female; D006801:Humans; D009333:Neck; D014374:Tuberculin Test; D014388:Tuberculosis, Lymph Node / Q000175:diagnosis*; D055815:Young Adult
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