title: Tuberculous mediastinal lymphadenopathy in an adult.
abstract: We describe a patient who presented to us with fever, decreased appetite, weight loss and dry cough for 1 month with no abnormalities on examination. A chest radiograph showed a mediastinal shadow. CT of the chest revealed multiple mediastinal lymph nodes. Bronchoalveolar lavage was negative for acid-fast bacilli and cytological examination did not show malignant cells. Serum ACE levels were high (93 U/L). Bone marrow aspiration and biopsy did not reveal any pathology. Mediastinoscopy-guided mediastinal lymph node biopsy showed features of granulomatous lymphadenitis. This case report summarises an unusual presentation of tuberculosis in an adult.
authors.affiliation: Department of Medicine, Kasturba Medical College, Manipal University, Manipal, Karnataka, India.
authors.forename: Keerthi B
authors.initials: KB
authors.lastname: Iyengar
authors.forename: Chandrashekar Udyavara
authors.initials: CU
authors.lastname: Kudru
authors.forename: Shivashankara Kaniyoor
authors.initials: SK
authors.lastname: Nagiri
authors.forename: Anuradha C K
authors.initials: AC
authors.lastname: Rao
mesh_terms: D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D005260:Female; D006801:Humans; D008477:Mediastinal Diseases / Q000175:diagnosis* / Q000188:drug therapy; D014388:Tuberculosis, Lymph Node / Q000175:diagnosis* / Q000188:drug therapy
chemical_list: D000995:Antitubercular Agents