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  • Title: Tuberculous mediastinal lymphadenopathy in an adult.
    Author: Iyengar KB, Kudru CU, Nagiri SK, Rao AC.
    Journal: BMJ Case Rep; 2014 Jan 13; 2014():. PubMed ID: 24419636.
    Abstract:
    We describe a patient who presented to us with fever, decreased appetite, weight loss and dry cough for 1 month with no abnormalities on examination. A chest radiograph showed a mediastinal shadow. CT of the chest revealed multiple mediastinal lymph nodes. Bronchoalveolar lavage was negative for acid-fast bacilli and cytological examination did not show malignant cells. Serum ACE levels were high (93 U/L). Bone marrow aspiration and biopsy did not reveal any pathology. Mediastinoscopy-guided mediastinal lymph node biopsy showed features of granulomatous lymphadenitis. This case report summarises an unusual presentation of tuberculosis in an adult.
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