EPITROCHEAL LYMPHADENOPATHY

 
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Question
A 9 years old boy presented with swelling in right elbow which was increasing since past 5 months. He had been treated with antituberculous therapy {ATT} for 6 months but the swelling persisted. A biopsy was done that did not show any acid fast bacilli {AFB} and histopathology was suggestive of reactive lymphadenitis. There was no history of insertion of hand in water pools. He used to play with cats.
Expert Opinion :
Since the child used to play with cats, one should rule out toxoplasmosis. The child’s toxoplasma IgM and IgG were positive by ELISA. He was treated with TMP-SMX to which his lymphadenopathy subsided.
Answer Discussion :
S
Sandeep Mandalan
bubble
cat`s scratch disease
3 years ago
M
Melissa Croucher
bubble
cat scratch disease
3 years ago

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