Multiple Tubercular Cervical, Supraclavicular, and Pretracheal Lymphadenitis With Scrofuloderma: A Rare Case

Abstract

In clinical settings, cutaneous tuberculosis is an uncommon occurrence. On the other hand, incidences of this kind of tuberculosis are usually documented in high-burden nations. Despite being the most prevalent variety of cutaneous tuberculosis, scrofuloderma frequently goes undiagnosed. The present case is a rare case of simultaneous involvement of cervical, supraclavicular, and pretracheal lymph nodes and skin due to Mycobacterium tuberculosis. A 26-year-old Indian female was diagnosed after a careful diagnostic workup involving fine needle aspiration cytology, a cartridge-based nucleic acid amplification test, and a biopsy. The case is remarkable as there was no pulmonary involvement. She was initiated on antitubercular treatment per national policy.

Keywords: cbnaat/xpert/rif assay; cervical tuberculous lymphadenitis; fine needle aspiration cytology (fnac); scrofula; scrofuloderma.

Figure 1. Gross image showing multiple cervical, supraclavicular, and anterior chest wall swellings

Figure 2. Gross image showing pretracheal lymph nodes and an anterior chest wall lesion

Figure 3. A normal chest radiograph