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Scrofula as a presentation of tuberculosis and HIV

Published online by Cambridge University Press:  21 May 2015

Katrina Barnett  and
Ron Medzon
Katrina Barnett*
Affiliation:
Emergency Medicine, Boston Medical Center, Boston University School of Medicine, Boston, Mass.
Ron Medzon
Affiliation:
Emergency Medicine, Boston Medical Center, Boston University School of Medicine, Boston, Mass.
*
Dowling 1 South, 1 Boston Medical Center Place, Boston MA 02118; [email protected]

Abstract

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Scrofula, or tuberculous cervical lymphadenitis, though now rare, is more commonly seen in minorities, women and immunosuppressed patients, especially those with HIV. We discuss a patient who presented to the emergency department with an anterior neck abscess and was diagnosed with both advanced HIV and disseminated tuberculosis. A high level of suspicion is necessary to make this diagnosis, but given an increasing degree of global mobility, such patients may present anywhere. Medical management is effective, though difficult. Early diagnosis improves the patient's individual prognosis and may prevent further exposure and transmission to the population.

Type
Case Report • Observations de cas
Information
Canadian Journal of Emergency Medicine , Volume 9 , Issue 3 , May 2007 , pp. 176 - 179
Copyright
Copyright © Canadian Association of Emergency Physicians 2007

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