Case reports

← vista completa

Published on October 1, 2012 | http://doi.org/10.5867/medwave.2012.09.5535

Tuberculous adenitis from Mycobacterium bovis: a case report

Adenitis tuberculosa por Mycobacterium bovis: reporte de caso

Miguel A. Serra Valdés, Ramón Portales Pérez, Yordanka Y. Aleaga Hernández, Maritza Cardosa Samón

Abstract

Introduction. Tuberculous lymphadenitis, which currently is most often caused by Mycobacterium tuberculosis, was once mainly caused by Mycobacterium bovis. Objective. To describe an unusual case of tuberculous adenitis from Mycobacterium bovis. Case report. A woman with a history of consuming raw milk and unsupervised dairy home-made products presents with cervical adenitis of 5 month course unassociated to other symptoms. A diagnosis of Mycobacterium bovis tuberculous adenitis was made by biopsy, ELISA, PCR and culture. Discussion. Approximately 11 to 25% of all TB cases are extrapulmonary exclusively. Cervical lymphadenitis is the most common presentation of peripheral disease. Treatment usually is based on four drugs. Surgery is indicated for diagnostic procedures and complications. Conclusion. Mycobacterium bovis infection is uncommon in our environment, but must be considered in the diagnostic evaluation of all patients with cervical adenitis and epidemiological correlations.

This work is licensed under a Creative Commons Attribution 4.0 International License. Esta licencia permite el uso, distribución y reproducción del artículo en cualquier medio, siempre y cuando se otorgue el crédito correspondiente al autor del artículo y al medio en que se publica, en este caso, Medwave.

Authors

Miguel A. Serra Valdés

Hospital General Docente “Enrique Cabrera”, Universidad de Ciencias Médicas de La Habana, Cuba

Ramón Portales Pérez

Hospital General Docente “Enrique Cabrera”, Universidad de Ciencias Médicas de La Habana, Cuba

Yordanka Y. Aleaga Hernández

Hospital General Docente “Enrique Cabrera”, Universidad de Ciencias Médicas de La Habana, Cuba

Maritza Cardosa Samón

Hospital General Docente “Enrique Cabrera”, Universidad de Ciencias Médicas de La Habana, Cuba

Figures

Article has no figures.

Forum

No messages

History

Citation Serra Valdés MA, Portales Pérez R, Aleaga Hernández YY, Cardosa Samón M. Tuberculous adenitis from Mycobacterium bovis: a case report. Medwave 2012;12(09):e5535 doi: 10.5867/medwave.2012.09.5535

Submission date 05/06/2012

Acceptance date 12/08/2012

Publication date 01/10/2012

Index

Metrics

Not available at the moment.

Notes

Keywords

extra-pulmonary tuberculosis, tuberculous lymphadenitis, baar, diagnosis, mycobacterium bovis

Origin and peer review

con revisión externa por 3 revisores, a doble ciego

References

  1. Mandell GL, Bennett JE, Dolin R. Mycobacterium tuberculosis: Extrapulmonary tuberculosis. En: Mandell, Douglas y Bennet. Principios y práctica de enfermedades infecciosas. 6 ed. España: Elsevier, 2005:2852-2883.
  2. Kumar V, Abbas AK, Fausto N. Molecular Basis of Cancer, Micobacteria infections: Clinical Features of Tuberculosis and Morphology. En: Robbins & Cotran pathologic basis of disease. 7th ed. Philadelphia: Saunders, 2008.
  3. Mori T, Leung CC. Tuberculosis in the global aging population. Infect Dis Clin North Am. 2010 Sep;24(3):751-68. | CrossRef | PubMed
  4. García-Rodríguez JF, Álvarez-Díaz H, Lorenzo-García MV, Mariño-Callejo A, Fernández-Rial Á, Sesma-Sánchez P. Extrapulmonary tuberculosis: epidemiology and risk factors. Enferm Infecc Microbiol Clin. 2011 Aug-Sep;29(7):502-9. Epub 2011 May 12. | CrossRef | PubMed
  5. Organización Mundial de la Salud. Estrategia Alto a la Tuberculosis. Componentes de la estrategia y medidas de aplicación. Washington DC: World Health Organization, 2006. | Link
  6. Kipp AM, Stout JE, Hamilton CD, Van Rie A. Extrapulmonary tuberculosis human immunodeficiency virus, and foreign birth in North Carolina, 1993-2006. BMC Public Health. 2008 Apr 4;8:107. | CrossRef | PubMed
  7. Peto HM, Pratt RH, Harrington TA, LoBue PA, Armstrong L. Epidemiology of Extrapulmonary Tuberculosis in the United States, 1993-2006. Clin Infect Dis. 2009 Nov 1;49(9):1350-7. | CrossRef | PubMed
  8. García JF. Formas extrapulmonares de la tuberculosis: situación en un nuevo siglo. Enferm Infecc Microbiol Clin. 2008 Nov;26(9):537-9. | PubMed
  9. del Campo E, Toledano Y, Blanco G, Nápoles N, Ramos D. Algunos factores epidemiológicos relacionados con la tuberculosis en la provincia de Santiago de Cuba (2005-2007). MEDISAN. 2010;14(4):439-46.
  10. Landires I, Núñez-Samudio V, Landires E. El desarrollo de tuberculosis extrapulmonar. Arch Bronconeumol. 2007 Feb;43(2):129. | PubMed
  11. Hernando J, Villarreal PM, Blanco V, Pelaz A. Linfadenitis cervical tuberculosa. Rev Esp Cir Oral Maxilofac. 2010;32(3):130-131. | CrossRef
  12. Wang WC, Chen JY, Chen YK, Lin LM. Tuberculosis of the head and neck: a review of 20 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009 Mar;107(3):381-6. Epub 2009 Jan 20. | CrossRef | PubMed
  13. de la Rua-Domenech R. Human Mycobacterium bovis infection in the United Kingdom: incidence, risk, control measures and review of the zoonotic aspects of bovine tuberculosis. Tuberculosis (Edinb). 2006 Mar;86(2):77-109. Epub 2005 Oct 28. | CrossRef | PubMed
  14. Landires I, Núñez-Samudio V, Landires E. El desarrollo de tuberculosis extrapulmonar. Arch Bronconeumol. 2007 Feb;43(2):129. | PubMed