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CASE REPORT
Year : 2016  |  Volume : 4  |  Issue : 1  |  Page : 33-35

Multi drug resistant tuberculosis presenting as anterior mediastinal mass


Department of Pediatrics, B J Wadia Hospital for Children, Parel, Mumbai, Maharashtra, India

Correspondence Address:
Parmarth Chandane
Department of Pediatrics, B J Wadia Hospital for Children, Parel, Mumbai, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2320-8775.159869

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Enlargement of the mediastinal lymphatic glands is a common presentation of intrathoracic tuberculosis (TB) in children. However, usually, the mediastinal TB nodes enlarge to 2.8 ± 1.0 cm. In this report, we describe a case of anterior mediastinal lymphnode TB seen as huge mass (7 cm) on computed tomography (CT) thorax without respiratory or food pipe compromise despite anterior mediastinum being an enclosed space. CT guided biopsy of the mass cultured Mycobacterium TB complex which was resistant to isoniazide, rifampicin, streptomycin ofloxacin, moxifloxacin, and pyrazinamide. Hence, we report primary multi drug resistant TB presenting as anterior mediastinal mass as a rare case report.


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