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Case Reports
. 2013 Jul 31;6(7):371-3.
doi: 10.4066/AMJ.2013.1759. Print 2013.

Forgotten but not gone - Scrofuloderma in a migrant student from India

Mohammad Bagherirad  1 , Eugene Athan, Owen C Harris
Affiliations
Case Reports

Forgotten but not gone - Scrofuloderma in a migrant student from India

Mohammad Bagherirad et al. Australas Med J. .

Abstract

A 34-year-old Indian student who immigrated to Australia five years ago presented with a four-week history of neck pain. Physical examination revealed two firm fixed cervical lymph nodes in the anterior triangle and midline region which were tender on palpation and erythematous on inspection. Cording phenomenon was found on ZN staining of FNA sample and mycobacterium tuberculosis (M.tb ) PCR confirmed the diagnosis with incomplete resistance to isoniazid. Patient was treated with other three first line antituberculosis medications for nine months with an excellent outcome. Prednisolone was also used as adjunctive therapy and tapered during the course of treatment.

Keywords: Cording phenomenon; Scrofuloderma; Tuberculosis.

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Conflict of interest statement

CONFLICTS OF INTEREST

The authors declare that they have no competing interests. We also declare that all the authors have approved the final version of this manuscript.

Figures

Figure 2
Figure 2. Microscopy of the culture.
Figure 1
Figure 1. Cervical tender fixed masses
Figure 3
Figure 3. Lymphadenopathy has resolved.
See this image and copyright information in PMC

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