patho. q - raheem

[ArchivalUser]

A 30 yr. Old patient presents with asymptomatic doughy soft 2 cm swelling of the lateral side of neck which has been present for months . the swelling recently enlarged as a result of an upper respiratory tract infection . the most likely diagnosis is

A. scrofula
B. hodgkin’s ds.
C. Cat scratch fever
D. Cervicofacial actinomycosis

[ArchivalUser]

aa

[ArchivalUser]

aa

[ArchivalUser]

Scrofula is the term used for tuberculosis of the neck, or, more precisely, a cervical tuberculous lymphadenopathy. Scrofula is usually a result of an infection in the lymph nodes, known as lymphadenitis and is most often observed in immunocompromised patients (about 50% of cervical tuberculous lymphadenopathy). About 95% of the scrofula cases in adults are caused by Mycobacterium tuberculosis, but only 8% of cases in children. The rest are caused by atypical mycobacterium (Mycobacterium scrofulaceum) or nontuberculous mycobacterium (NTM).