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Tubercular inflammation of cervical lymph nodes with a colliquative tuberculosis focus - a case study
open access
Abstract
We report a case of lymph node tuberculosis and of colliquative tuberculosis of the skin, at first erroneously diagnosed as actinomycosis, complicated by multiform erythema.
In the reported case, no tuberculous bacilli were identified in bacteriological evaluations of bioptates collected from the skin changes. The final diagnosis of the disease was determined by the presence of specific granulation tissue in the last performed histopathological studies, as well as by hypersensitivity to tuberculin and the presence of mycobacterial DNA in PCR evaluation. According to the authors, in case of clinically suspected cutaneous tuberculosis, repeated (several) histopathological studies of samples from observed changes seem to be fairly justified. The results of histopathological studies should be completed by one of the methods of oligomycobacterial material evaluation, e.g. by identification of mycobacterial genetic material by means of nucleic acid amplification in the PCR method.
Abstract
We report a case of lymph node tuberculosis and of colliquative tuberculosis of the skin, at first erroneously diagnosed as actinomycosis, complicated by multiform erythema.
In the reported case, no tuberculous bacilli were identified in bacteriological evaluations of bioptates collected from the skin changes. The final diagnosis of the disease was determined by the presence of specific granulation tissue in the last performed histopathological studies, as well as by hypersensitivity to tuberculin and the presence of mycobacterial DNA in PCR evaluation. According to the authors, in case of clinically suspected cutaneous tuberculosis, repeated (several) histopathological studies of samples from observed changes seem to be fairly justified. The results of histopathological studies should be completed by one of the methods of oligomycobacterial material evaluation, e.g. by identification of mycobacterial genetic material by means of nucleic acid amplification in the PCR method.
Keywords
dermal tuberculosis; colliquative tuberculosis; inflammation of lymphatic nodes; polymerase chain reaction


Title
Tubercular inflammation of cervical lymph nodes with a colliquative tuberculosis focus - a case study
Journal
Advances in Respiratory Medicine
Issue
Article type
Case report
Pages
417-421
Published online
2009-06-26
Bibliographic record
Pneumonol Alergol Pol 2009;77(4):417-421.
Keywords
dermal tuberculosis
colliquative tuberculosis
inflammation of lymphatic nodes
polymerase chain reaction
Authors
Witold Owczarek
Tomasz Targowski
Katarzyna Łebkowska
Elwira Paluchowska


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