Tuberculosis of the cystic duct lymph node
Braz. j. infect. dis
;
8(1): 112-114, Feb. 2004. ilus
Article
in English
| LILACS
| ID: lil-362374
ABSTRACT
Tuberculosis of the cystic duct lymph node associated with cholelithiasis is rare. We report a case of a 40 year-old woman with this pathology. She presented with anorexia, biliary colic, postprandial fullness and fever. Imaging studies revealed cholelithiasis and several visible portal lymph nodes. Cholecystectomy was performed and histopathological examination showed tuberculosis of the cystic duct lymph node without affecting the gallbladder. The presence of gallstones and lymphadenopathy in computed tomography, associated with persistent fever and symptoms that resemble cholecystitis, should cause suspicion of tuberculosis. However, diagnosis is usually achieved by microscopic appearance of caseating granulomas and isolation of Mycobacterium tuberculosis. The treatment in this case consisted of cholecystectomy and antitubercular chemotherapy.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Tuberculosis, Lymph Node
/
Bile Duct Diseases
/
Cholelithiasis
/
Cystic Duct
Limits:
Adult
/
Female
/
Humans
Language:
English
Journal:
Braz. j. infect. dis
Journal subject:
Communicable Diseases
Year:
2004
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Federal University of Sergipe/BR
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