213. An Immigrant with Neck Swelling

  1. Christopher P. Holstege MD1,2,3,
  2. Alexander B. Baer MD1,4,
  3. Jesse M. Pines MD, MBA, MSCE5,6 and
  4. William J. Brady MD7,8,9

Published Online: 3 AUG 2011

DOI: 10.1002/9781444397994.ch213

Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition

Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition

How to Cite

Holstege, C. P., Baer, A. B., Pines, J. M. and Brady, W. J. (eds) (2011) An Immigrant with Neck Swelling, in Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition, Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444397994.ch213

Editor Information

  1. 1

    Division of Medical Toxicology, University of Virginia School of Medicine, Charlottesville, VA, USA

  2. 2

    Blue Ridge Poison Center, University of Virginia School of Medicine, Charlottesville, VA, USA

  3. 3

    Departments of Emergency Medicine & Pediatrics, University of Virginia School of Medicine, Charlottesville, VA, USA

  4. 4

    Department of Emergency Medicine, University of Virginia School of Medicine, Charlottesville, VA, USA

  5. 5

    Center for Health Care Quality, George Washington University, Washington, DC, USA

  6. 6

    Departments of Emergency Medicine and Health Policy, George Washington University, Washington, DC, USA

  7. 7

    Department of Emergency Medicine, University of Virginia, Charlottesville, VA, USA

  8. 8

    Center for Emergency Management, University of Virginia Health System, Charlottesville, VA, USA

  9. 9

    Charlottesville-Albemarle Rescue Squad & Albemarle County, Fire Rescue, Charlottesville, VA, USA

Publication History

  1. Published Online: 3 AUG 2011
  2. Published Print: 12 AUG 2011

ISBN Information

Print ISBN: 9781444333473

Online ISBN: 9781444397994

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Keywords:

  • Case 103, immigrant with neck swelling;
  • diagnosis - tuberculous adenitis, tuberculosis (TB), by bacilli of Mycobacterium tuberculosis complex;
  • infection, via inhalation of infected - aerosolized respiratory droplet nuclei of individual with active pulmonary TB;
  • TB, a global resurgence in 1990s - attributed to human immunodeficiency virus (HIV) epidemic;
  • clinical manifestations of TB - reflecting, involvement of system or organ;
  • immune-competent hosts - vigorous granulomatous response, stopping progression of infection;
  • computed tomography, and magnetic resonance imaging - useful management adjuncts;
  • presence of multiloculated mass - with central lucency, minimally effaced fascial planes;
  • mycobacterial lymphadenitis, systemic process - systemic antimycobacterial therapy, the standard;
  • baseline testing, and visual acuity - blood urea nitrogen and creatinine, uric acid, hepatic transaminases and bilirubin level