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76-jährige Patientin mit tiefer Beinvenenthrombose und zervikaler Lymphadenopathie


Glutz von Blotzheim, L; Müller, N J; Huber, L C; Degen, T (2012). 76-jährige Patientin mit tiefer Beinvenenthrombose und zervikaler Lymphadenopathie. Der Internist, 53(6):756-759.

Abstract

We report the case of a 76-year-old female patient presenting with deep venous thrombosis and upper cervical lymphadenopathy. A computed tomography (CT) scan showed multiple hepatic lesions with a high suspicion of metastatic disease from an unknown primary tumor. The differential diagnosis of lymphadenopathy and hepatic lesions includes malignant tumors and various infectious diseases. The diagnostic process, however, revealed lymph node tuberculosis with multiple hepatic granulomas despite a repeatedly negative interferon-γ release assay. A combined antituberculosis therapy led to complete clinical remission.

Abstract

We report the case of a 76-year-old female patient presenting with deep venous thrombosis and upper cervical lymphadenopathy. A computed tomography (CT) scan showed multiple hepatic lesions with a high suspicion of metastatic disease from an unknown primary tumor. The differential diagnosis of lymphadenopathy and hepatic lesions includes malignant tumors and various infectious diseases. The diagnostic process, however, revealed lymph node tuberculosis with multiple hepatic granulomas despite a repeatedly negative interferon-γ release assay. A combined antituberculosis therapy led to complete clinical remission.

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Additional indexing

Other titles:A 76-year-old female patient with deep venous thrombosis and cervical lymphadenopathy
Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Infectious Diseases
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:2012
Deposited On:14 Dec 2012 09:15
Last Modified:05 Apr 2016 16:12
Publisher:Springer
ISSN:0020-9554
Publisher DOI:https://doi.org/10.1007/s00108-012-3050-5
PubMed ID:22476211

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