[Skip to Navigation]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
January 9, 1995

Cutaneous Reactivity in Tubercular Lymphadenitis

Author Affiliations

San Miniato, Italy

Arch Intern Med. 1995;155(1):116. doi:10.1001/archinte.1995.00430010124021

We read with interest the article that appeared in the May 24,1993, issue of the Archives,1 dealing with a case of tuberculous infection in a young man, manifesting by generalized lymphadenopathy, pulmonary infiltrates, and bone destruction.

We observed a somewhat similar patient described elsewhere.2

Report of a Case.  A 72-year-old man was admitted because of fever, abdominal pain, and weight loss. Prominent para-aortic and mesenteric lymph-node enlargement was detected by a computed tomographic scan and sonography. A chest roentgenogram was normal. Tuberculin skin test results were negative as were results of a sputum examination for acid-fast bacilli. The patient was suspected of having malignant lymphoma, and a surgical biopsy specimen of the abdominal lymph nodes revealed caseating granuloma and acid-fast bacilli in Langhans' cells. Subsequently, he was treated with three antituberculous drugs, with gradual resolution of his fever and progressive lymph-node calcification at follow-up sonography 1 year later.