Onkologie. 2010:4(4):279-281

An unexpected diagnosis in a 13-year-old girl presented with abdominal lymphadenopathy and B symptoms

Lucie Cingrošová1, Lenka Mrázková2, Marcela Dvořáková2, Luboš Zeman3, Josef Mališ1, Jiřina Hobstová4, Pavel Dryák5, Vít Campr6, Jan Starý1
1 Klinika dětské hematologie a onkologie UK 2. LF a FN Motol, Praha
2 Klinika zobrazovacích metod UK 2. LF a FN Motol, Praha
3 Klinika dětské chirurgie UK 2. LF a FN Motol, Praha
4 Infekční oddělení FN Motol, Praha
5 Oddělení mikrobiologie FN Bulovka, Praha
6 Ústav patologie a molekulární medicíny UK 2. LF a FN Motol, Praha

We report a case of a 13-year-old girl of Somali origin who was admitted for suspected lymphoma. She had developed typical B symptoms

and abdominal lymphadenopathy within the passed month. Though the patient has never undergone BCG vaccination, the Mantoux skin

test was positive. The girl underwent an ileocaecal lymph node biopsy – histopathological findings showed granulomatous inflammation

with caseation necrosis and mycobacterium tuberculosis was culture-confirmed from the examined tissue. Diagnosis of abdominal TB

was assessed and the girl was sent to a pediatric department specialized in the treatment of childhood TB.

Keywords: B symptoms, lymphadenopathy, tuberculosis

Published: October 1, 2010  Show citation

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Cingrošová L, Mrázková L, Dvořáková M, Zeman L, Mališ J, Hobstová J, et al.. An unexpected diagnosis in a 13-year-old girl presented with abdominal lymphadenopathy and B symptoms. Onkologie. 2010;4(4):279-281.
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    References

    1. WHO Stop TB Partnership; April 2008; online; ke dni 3. 3. 2010 dostupné na www.who.int/tb.
    2. Výroční zpráva o mykobakteriologické diagnostice v roce 2007, Národní referenční laboratoř pro mykobakterie, SZÚ.
    3. Křepela K. Standard léčebného plánu - Tuberkulóza dětí a mladistvých, Feb 2005; online; ke dni 3. 3. 2010 dostupné na http://www.pneumologie.cz/odborne/doporucenepostupy.php.
    4. Křepela K. Diagnostika a léčba tuberkulózy dětí a mladistvých v ČR. Pediatr. pro praxi 2007; 4: 208-210.
    5. Gopal SV, Panda S, Kadambari D, et al. Colon carcinoma associated with tuberculosis: an unusual presentation. Int. J. Colorectal Dis 2007; 22(7): 843-844. Go to original source... Go to PubMed...
    6. Sharma MP, Bhatia V. Abdominal Tuberculosis. Indian J Med. Res. 2004: 305-315.
    7. De Backer AI, Mortelé KJ, Verhaert L. CT a MRI Imaging of Gastrointestinal Tuberculosis, JBR - BTR 2006; 89: 190-194.

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