Mysterious Mediastinum - Fever Difficult to Dx with Dysphagi
Published in the American Journal of Medical Case Reports, the authors report a case of an adult with mediastinal tuberculous lymphadenitis with esophageal compression symptoms who presented with fever difficult to diagnose. The authors further depict how modern techniques helped to make an early and accurate diagnosis.

Tuberculosis is a common etiological factor for fever of unknown origin in developing countries even today. Tuberculous mediastinal lymphadenitis is a disease of children as a part of primary tuberculosis.

Mediastinal lymphadenitis without a parenchymal disease is unusual in an adult. Mediastinal tuberculous lymphadenitis presenting as fever of unknown origin could be mysterious when chest x ray was normal.

Modern techniques like Computerised Tomography of chest and Endobronchial Ultrasound and Transbronchial Needle Aspiration (EBUS & TBNA) made it possible to make an early diagnosis in such clinical situations.

Read in detail here:
N●●a V●●●●●●●i and 5 others like this1 share