ISSN - 0973-0958

Pediatric Oncall Journal View Article

Mediastinal tubercular lymph nodes completely encasing aorta in a child- A rare complication
Jagdish Kathwate.
Department of Pediatrics, Motherhood Hospital, Pune, Maharashtra, India.
Lymphadenitis is common in primary Tuberculosis (TB) in children and they may be asymptomatic during the non-suppurative lymphadenitis phase. Intrathoracic nodes may compress one of the bronchus leading to atelectasis, lung infection and bronchiectasis or thoracic duct leading to chylous effusion. Other intrathoracic complications include dysphagia, oesophago-mediastinal fistula, tracheo-oesophageal fistula, biliary obstruction and cardiac tamponade. Though mediastinal tubercular lymphadenitis (MTL) is common in developing countries ,encasement of aorta by it is extremely rare. We report an eight-year-old girl who presented with non-healing right axillary lymphadenitis, later diagnosed to have MTL and found to have complete aortic encasement.

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