Tuberculosis of peripheral lymph nodes in adolescents as a manifestation of a generalized specific process: Clinical case

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Abstract

Tuberculosis of peripheral lymph nodes is extremely rare, so when patients first contact a pediatrician due to enlargement of lymph nodes, it may be challenging to establish the correct diagnosis. To conduct a differential diagnosis between tuberculosis and nonspecific diseases, it is necessary to consider the medical history, paying special attention to the presence of contact with a patient with tuberculosis, and conducting a set of tests available to pediatricians and surgeons in general polyclinics and hospitals. The presented clinical case demonstrates the missed opportunities for timely diagnosis of tuberculosis in an adolescent, which led to the generalization of the specific process with involvement of peripheral lymph nodes and required several surgical interventions.

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Lyudmila V. Panova

Central Tuberculosis Research Institute

Author for correspondence.
Email: detstvocniit@mail.ru
ORCID iD: 0000-0003-2417-8295

D. Sci. (Med.)

Russian Federation, Moscow

Tatiana N. Borisova

Central Tuberculosis Research Institute

Email: detstvocniit@mail.ru
ORCID iD: 0009-0005-8442-2124

Medical Resident

Russian Federation, Moscow

Elena S. Ovsyankina

Central Tuberculosis Research Institute

Email: detstvocniit@mail.ru
ORCID iD: 0000-0002-0460-7585

D. Sci. (Med.), Prof.

Russian Federation, Moscow

Mamad A. Bagirov

Central Tuberculosis Research Institute

Email: detstvocniit@mail.ru
ORCID iD: 0000-0001-9788-1024

D. Sci. (Med.)

Russian Federation, Moscow

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Supplementary files

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2. Fig. 1. Chest computed tomography (chest CT) dated 25.06.2024.

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3. Fig. 2. Chest CT (2 months after the diagnosis).

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4. Fig. 3. The supraclavicular group of lymph nodes (secondary scrofuloderma).

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5. Fig. 4. Chest CT (progression after 4 months from the start of chemotherapy).

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