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Scholars Journal of Medical Case Reports | Volume-10 | Issue-06
Isolated Tubercular Cervical Lymphadenopathy in Pregnancy -A Case Report
Dr. Md. Mizanur Rahman, Dr. Roksana Haque
Published: June 18, 2022 |
147
130
DOI: 10.36347/sjmcr.2022.v10i06.020
Pages: 574-577
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Abstract
Tuberculosis (TB) is a chronic granulomatous inflammatory lesion which is a leading cause of maternal and fetal morbidity and mortality. With improvement of economic and social conditions and the use of anti-tubercular therapy, there has been decline in pulmonary tuberculosis. But extra pulmonary tuberculosis presentations form a major proportion of new cases now a days. Tubercular lymphadenitis is the commonest form of extra pulmonary tuberculosis. Cervical lymph nodes are commonly affected which may present as unilateral, painless, slowly progressing swelling and resembles several conditions (like secondary metastasis from breast or stomach, lymphoma, reactive lymphadenitis) Histology is required for diagnosis. We present a case report of a 28 years old pregnant woman with cervical lymphadenitis. FNAC revealed tubercular lesion and she was prescribed with anti-tubercular regimen. Subsequently she delivered a healthy term baby and completed treatment regimen with resolution of neck swelling. Both pregnancy and TB can adversely affect each other and lead to poor outcome. So suspicion, detection and treatment of TB in pregnancy is important to reduce maternal and neonatal morbidity and mortality for achieving SDG goal by 2030.