title: Coincidental diagnosis of tuberculous lymphadenitis: a case report.
abstract: The aim of this case report was to present a case of multiple calcified tuberculous lymph nodes found on a panoramic radiograph coincidently diagnosed in an endodontic clinic. A detailed discussion on the differential diagnosis of similar such calcification found in the same region is also presented. A 14-year-old girl was referred to our department with the complaint of painless swelling in the left side of the lower jaw. Clinical and radiographical examinations were performed, leading to the initial diagnosis of chronic periapical abscess. The patient's medical history was re-evaluated. Advanced imaging and excisional biopsy were performed in order to confirm the final diagnosis. Regarding the presenting signs and symptoms of bilateral carious mandibular molars, a periapical inflammatory process was considered in the provisional diagnosis. A thorough examination and investigations were suggestive of cervical tuberculous lymphadenitis (scrofula), and the patient underwent excision of the same. The clinician should consider the possibility of chronic granulomatous inflammatory lesions in the differential diagnosis of radiopaque lesions.
authors.affiliation: Department of Conservative Dentistry and Endodontics, Modern Dental College and Research Centre, Indore, India.
authors.forename: A K
authors.initials: AK
authors.lastname: Garg
authors.forename: A
authors.initials: A
authors.lastname: Chaudhary
authors.forename: R K
authors.initials: RK
authors.lastname: Tewari
authors.forename: L M
authors.initials: LM
authors.lastname: Bariar
authors.forename: N
authors.initials: N
authors.lastname: Agrawal
mesh_terms: D000293:Adolescent; D001706:Biopsy; D002114:Calcinosis / Q000000981:diagnostic imaging* / Q000473:pathology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D033162:Incidental Findings; D008334:Mandible; D008963:Molar / Q000000981:diagnostic imaging; D010482:Periapical Abscess / Q000175:diagnosis; D011862:Radiography, Panoramic; D014057:Tomography, X-Ray Computed; D014388:Tuberculosis, Lymph Node / Q000000981:diagnostic imaging* / Q000473:pathology
keywords: Computed tomography; lymph nodes; panoramic radiography; soft tissue calcifications; tuberculosis