A 34-Year-Old Man With a Neck Mass.

Tamara Phiri; Joep van Oosterhout; Samuel Kampondeni; Theresa Allain; Henry Mwandumba

doi:10.1016/j.chest.2021.09.026

A 34-Year-Old Man With a Neck Mass.

Tamara Phiri, Joep van Oosterhout, Samuel Kampondeni, Theresa Allain, Henry Mwandumba

Clinical Sciences

Research output: Contribution to journal › Article › peer-review

Abstract

CASE PRESENTATION

A 34-year-old man presented to Queen Elizabeth Central Hospital in Blantyre, Malawi with multiple enlarged right cervical lymph nodes. He had no associated constitutional symptoms. Fine-needle aspirate (FNA) of one of the lymph nodes was negative for acid-fast bacilli (AFB) by smear microscopy. The FNA specimen was not sent for histological examination. Mycobacterial culture and Xpert MTB/RIF were not available at the time. He tested positive for HIV but CD4 T-cell count was not requested at the time of HIV diagnosis, and he did not start antiretroviral therapy (ART) pending confirmation of the cause of lymphadenopathy. Excision biopsy of the lymph nodes was planned; however, the patient was lost to follow-up before the procedure was performed.

Original language	English
Pages (from-to)	e145-e148
Journal	Chest
Volume	161
Issue number	3
Early online date	5 Mar 2022
DOIs	https://doi.org/10.1016/j.chest.2021.09.026
Publication status	E-pub ahead of print - 5 Mar 2022

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1-s2Final published version, 288 KBLicence: CC BY

Cite this

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title = "A 34-Year-Old Man With a Neck Mass.",

abstract = "CASE PRESENTATIONA 34-year-old man presented to Queen Elizabeth Central Hospital in Blantyre, Malawi with multiple enlarged right cervical lymph nodes. He had no associated constitutional symptoms. Fine-needle aspirate (FNA) of one of the lymph nodes was negative for acid-fast bacilli (AFB) by smear microscopy. The FNA specimen was not sent for histological examination. Mycobacterial culture and Xpert MTB/RIF were not available at the time. He tested positive for HIV but CD4 T-cell count was not requested at the time of HIV diagnosis, and he did not start antiretroviral therapy (ART) pending confirmation of the cause of lymphadenopathy. Excision biopsy of the lymph nodes was planned; however, the patient was lost to follow-up before the procedure was performed.",

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T1 - A 34-Year-Old Man With a Neck Mass.

AU - Phiri, Tamara

AU - van Oosterhout, Joep

AU - Kampondeni, Samuel

AU - Allain, Theresa

AU - Mwandumba, Henry

PY - 2022/3/5

Y1 - 2022/3/5

N2 - CASE PRESENTATIONA 34-year-old man presented to Queen Elizabeth Central Hospital in Blantyre, Malawi with multiple enlarged right cervical lymph nodes. He had no associated constitutional symptoms. Fine-needle aspirate (FNA) of one of the lymph nodes was negative for acid-fast bacilli (AFB) by smear microscopy. The FNA specimen was not sent for histological examination. Mycobacterial culture and Xpert MTB/RIF were not available at the time. He tested positive for HIV but CD4 T-cell count was not requested at the time of HIV diagnosis, and he did not start antiretroviral therapy (ART) pending confirmation of the cause of lymphadenopathy. Excision biopsy of the lymph nodes was planned; however, the patient was lost to follow-up before the procedure was performed.

AB - CASE PRESENTATIONA 34-year-old man presented to Queen Elizabeth Central Hospital in Blantyre, Malawi with multiple enlarged right cervical lymph nodes. He had no associated constitutional symptoms. Fine-needle aspirate (FNA) of one of the lymph nodes was negative for acid-fast bacilli (AFB) by smear microscopy. The FNA specimen was not sent for histological examination. Mycobacterial culture and Xpert MTB/RIF were not available at the time. He tested positive for HIV but CD4 T-cell count was not requested at the time of HIV diagnosis, and he did not start antiretroviral therapy (ART) pending confirmation of the cause of lymphadenopathy. Excision biopsy of the lymph nodes was planned; however, the patient was lost to follow-up before the procedure was performed.

U2 - 10.1016/j.chest.2021.09.026

DO - 10.1016/j.chest.2021.09.026

M3 - Article

SN - 0012-3692

VL - 161

SP - e145-e148

JO - Chest

JF - Chest

IS - 3

ER -

A 34-Year-Old Man With a Neck Mass.

Abstract

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