Turkish Thoracic Journal
Case report

Mediastinal Tuberculosis Lymphadenitis Complicated with Pulmonary Tuberculosis


İnönü Üniversitesi Tıp Fakültesi, Göğüs Hastalıkları Anabilim Dalı, Malatya, Türkiye


İnönü Üniversitesi Tıp Fakültesi, İç Hastalıkları Anabilim Dalı, Malatya, Türkiye

Turk Thorac J 2007; 8: 199-201
Read: 519 Downloads: 127 Published: 18 July 2019


Tuberculosis is a growing health problem especially in developing countries. Tuberculosis lymphadenitis is the most frequent occurrence of extrapulmonary tuberculosis. In our case, there was widening of upper mediastinum on chest x-ray and thoracic CT scans demonstrated multilocular abscess on the upper mediastinum which was laying to paratracheal site. Acit-fast bacilli was positive on pus obtained by USG guided fine needle aspiration. Antituberculosis treatment was given. Homogenius infiltration were determined in chest X-ray on the left upper zone 7th day of treatment and fever increased. Although extended spectrum antibiotics treatment were given fever continued and no regression on chest X-ray. Acit-fast bacilli was positive on sputum analysis. We though that mediatinal abcess fistulised to lung parenchima because initial sputum acit-fast bacilli was negative and patient described sputum with pus. Antituberculosis treatment was continued and acit-fast bacilli became negative on sputum.

EISSN 2149-2530