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Case Reports
. 2024 Mar 12;16(3):e56055.
doi: 10.7759/cureus.56055. eCollection 2024 Mar.

Extrapulmonary Tuberculosis Presenting As Stage V Bilateral Cervical Lymphadenitis With Cortical Cerebral Watershed Infarct Along With Maxillary and Sphenoid Sinusitis

Sankalp Yadav  1
Affiliations
Case Reports

Extrapulmonary Tuberculosis Presenting As Stage V Bilateral Cervical Lymphadenitis With Cortical Cerebral Watershed Infarct Along With Maxillary and Sphenoid Sinusitis

Sankalp Yadav. Cureus. .

Abstract

Extrapulmonary tuberculosis is an infrequently reported condition. However, in endemic settings, it contributes to a significant number of cases. The most common site of extrapulmonary tuberculosis is the lymph nodes. Herein, an exceedingly rare case of extrapulmonary tuberculosis presenting as bilateral cervical lymphadenitis with external cerebral watershed infarct along with sphenoid and maxillary sinusitis in an Indian male is presented. A detailed literature search revealed that a case with all these clinical conditions together has never been reported to date. A diagnostic workup supported by radiometric investigations helped in the diagnosis, and timely management was initiated.

Keywords: antituberculous chemotherapy; cervical lymphadenitis; extrapulmonary; lymphadenitis; maxillary sinusitis; scrofula; sphenoid sinusitis; tuberculosis; watershed infarct.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Gross image of the left side at the presentation
Figure 2
Figure 2. Gross image of the right side at the presentation
Figure 3
Figure 3. A normal chest radiograph
Figure 4
Figure 4. Ultrasound of the neck suggestive of multiple deep cervical lymphadenopathies on the left side
A: The largest lymph node on the right side; B: Multiple deep cervical lymphadenopathies on the left side
Figure 5
Figure 5. A plain CT of the neck
CT: Computed tomography A: Left cervical lymph node involvement B: Bilateral cervical lymph node involvement C: Bilateral cervical lymph node involvement D: Right maxillary sinus involvement
Figure 6
Figure 6. An MRI of the brain showed involvement of the right cerebral hemisphere with border zone infarct
MRI: Magnetic resonance imaging
Figure 7
Figure 7. Gross image at the six-month follow-up of the left side
Figure 8
Figure 8. Gross image at the six-month follow-up of the right side
See this image and copyright information in PMC

References

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