Abstract

PILA PEREZ, Rafael et al. Tuberculous primary axillary lymphadenitis: their difficulties in diagnosis. AMC [online]. 2012, vol.16, n.1, pp.91-96. ISSN 1025-0255.

Background: tuberculous primary axillary lymphadenitis without other associate manifestation is a rare disease. Objective: to present a case of primary axillary lymphadenitis caused by tuberculosis in a patient. Clinical case: 25 years-old, female, white skin patient admitted three years ago by adenic syndrome, after a year of being discharge she presented adenopathy in the right lateral region of the neck, she was studied by external consultation where multiple tests were carried out like: histopathological study of the ganglion, imaging etc., diagnosing a nonspecific adenitis. She is admitted by presenting a right axillary tumor of 4.5- 5 cm, approximately with one year of evolution, with slow, lobular growth that does not cause any kind of discomfort. Conclusions: extrapulmonary tuberculosis is uncommon. The ganglionic form is the most reported, particularly those in the neck, very rare in the axillary region. The clinical presentation usually has no symptoms. The epidemiology, tuberculin test, imaging and mainly histopathology give the definitive diagnosis; because this disease has a great number of differential diagnoses.

Keywords : TUBERCULOSIS, LYMPH NODE; TUBERCULOSIS; TUBERCULIN TEST; ADULT.

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