Revista Archivo Médico de Camagüey
versión ISSN 1025-0255
DURRUTHY WILSON, Odalys; SUAZO VALLE, Nayvis y PERON ORTIZ, Daysi. Lymphadenitis of tuberculosis etiology: diagnosis by fine needle aspiration biopsy. AMC [online]. 2011, vol.15, n.6, pp. 1054-1062. ISSN 1025-0255.
Background: tuberculosis (TB) is a serious worldwide health problem. The spread of HIV infection increases its impact. Extrapulmonary tuberculosis accounts for 10-20 % of TB which suffers inmmunocompetent patients. Clinical case: a 32 years old, male patient, Afro-American descendent, coming from a rural area with a history of HIV/AIDS patient is presented. The patient was admitted in the internal medicine service at the Manuel Ascunce Domenech University Hospital, presenting right laterocervical and inguinal adenopathies of two month of evolution, fever of 39oC, intermittent cough without expectoration. To confirm the initial clinical diagnosis of possible ganglial tuberculosis, fine-needle aspiration biopsy was recommended as a complementary examination and microbiological culture of the sample was performed. Conclusions: this patient´s case has developed importance today, in which quick diagnosis of tuberculosis is a necessity, avoiding unnecessary treatments, enables microbiological culture and allows selecting which patients require ganglion biopsies and histopathological study for differential and definitive diagnosis of the disease. As well as, it is one tool for confirmation of clinical diagnosis of suspicion, at lower cost.
Palabras llave : TUBERCULOSIS, LIMPHNODE [Microbiology]; BIOPSY, FINE-NEEDLE FINA; CLINICAL DIAGNOSIS; ADULT; CASE STUDIES.