Sign-in to Ask A Doctor - 24x7
OR
Sign in with GoogleGet your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
Suggest Remedy For Granulomatous Lymphadenopathy With Tuberculosis Sarcoidosis
Excision biopsy of cervical lymphadenopathy on the right side in 2004 showed confluent epithelioid granulomas. Areas of hyalinization and necrosis also seen. Multinucleite giant cells of Langhans type noted. Z-N staining did not reveal acid fast bacilli despite intensive search. No atypical cells observed. Diagnosis: Granulomatous lymphadenopathy ?tuberculosis ?? sarcoidosis.
Bactec culture showed no growth of Mycobacterium species after 6 weeks of incubation.
In Feb 2010 granulomatous lymphadenitis on the left side of the neck with FNAC showing epithelioid cells present as single cells or clusters. Occasional multinucleated giant cell is seen. No caseation identified. What could be the diagnosis for this cervical lymphadenopathy?
Bactec culture showed no growth of Mycobacterium species after 6 weeks of incubation.
In Feb 2010 granulomatous lymphadenitis on the left side of the neck with FNAC showing epithelioid cells present as single cells or clusters. Occasional multinucleated giant cell is seen. No caseation identified. What could be the diagnosis for this cervical lymphadenopathy?
Wed, 29 Nov 2017
Thanks for your question on Healthcare Magic.
I can understand your concern.
In my opinion, this patient should start anti tubercular drugs according to weight.
Tubercular Lymphadenopathy is much more common than sarcoidosis.
Sarcoidosis is more common in mediastinal lymphnode.
TB is more common in cervical lymphnode.
So even if culture is negative, absence of caseation necrosis, we should definitely go for anti tubercular drugs for atleast 6-8 months.
Hope I have solved your query. I will be happy to help you further. Wishing good health to your patient. Thanks.
I can understand your concern.
In my opinion, this patient should start anti tubercular drugs according to weight.
Tubercular Lymphadenopathy is much more common than sarcoidosis.
Sarcoidosis is more common in mediastinal lymphnode.
TB is more common in cervical lymphnode.
So even if culture is negative, absence of caseation necrosis, we should definitely go for anti tubercular drugs for atleast 6-8 months.
Hope I have solved your query. I will be happy to help you further. Wishing good health to your patient. Thanks.
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer.
For a more detailed, immediate answer, try our premium service
[Sample answer]
Related questions you may be interested in
Recent questions on Granulomatous lymphadenitis
Loading Online Doctors....