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08/04/2025 08:09:23
A 12-year-old patient with a history of cervical TB presented with persistent symptoms despite anti-tuberculous therapy. Initial FNAC showed positive AFB, but lymph node biopsy revealed Reed-Sternberg cells indicating Hodgkin's lymphoma.
This case demonstrates the importance of histopathological examination when clinical response to treatment is inadequate. The coexistence of TB and lymphoma in pediatric patients presents unique diagnostic challenges that require comprehensive evaluation.
Key clinical features: evening fever, cervical lymphadenopathy, previous TB treatment, and eventual dual diagnosis confirmation through tissue biopsy.
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TB vs Lymphoma: Why Tissue Diagnosis Matters in Pediatric Lymphadenopathy