title: A case of concomitant Hodgkin's lymphoma with tuberculosis.
abstract: Tuberculosis (TB) presenting with Hodgkin's Lymphoma is a rare and difficult clinical situation for any physician to identify and to manage because of very similar clinical presentation. Herein we report a case of 29 year old woman who presented with enlarged lymph nodes, diagnosed and initiated on therapy for TB, based on the cervical node biopsy that showed granulomatous lymphadenitis suggestive of TB. Despite being on regular isoniazid, rifampicin, pyrazinamide and ethambutol regimen, she did not improve but worsened clinically! After an extensive work up that included endobronchial ultrasound (EBUS) and mediastinoscopy, a diagnosis of Hodgkin's disease of nodular sclerosis type was made. She was treated with chemotherapy and radiotherapy along with her TB therapy. Patient showed significant improvement following therapy.
authors.affiliation: Department of Respiratory Medicine, Apollo Hospitals, Chennai, Tamil Nadu, India.
authors.forename: Ramanjula C
authors.initials: RC
authors.lastname: Reddy
authors.affiliation: Department of Respiratory Medicine, Apollo Hospitals, Chennai, Tamil Nadu, India.
authors.forename: Meghena
authors.initials: M
authors.lastname: Mathew
authors.affiliation: Department of Pathology, Apollo Hospitals, Chennai, Tamil Nadu, India.
authors.forename: Ashok
authors.initials: A
authors.lastname: Parameswaran
authors.affiliation: Department of Respiratory Medicine, Apollo Hospitals, Chennai, Tamil Nadu, India.
authors.forename: R
authors.initials: R
authors.lastname: Narasimhan
keywords: Endobronchial ultrasound; Hodgkin's lymphoma; mediastinal lymphadenopathy; mediastinoscopy; nodular sclerosis; tuberculosis