Case A 15-year-old boy was presented in the hospital with an enlarged cervical lymph node for two months. History The patient was asthmatic. He had no history of fever, cough, night sweats, weight loss, fatigue, or bone pain. The patient was prescribed antibiotics previously. However, he did not complete the course. He had no contact with animals or tuberculosis-infected patients. Examination The vital examination was unremarkable.
Physical examination revealed a 4 X 3 cm enlarged right cervical lymph node . The node was mildly tender at palpation, mobile, firm, and had no signs of drainage. The patient had no evidence of hepatosplenomegaly. The respiratory panel examination was negative . Serological studies for cytomegalovirus, Epstein-Barr virus, and Bartonella were negative . Tuberculin test (5 units) showed 13 mm induration after 48 hours of incubation. Quanti FERON-TB Gold…
