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Journal of Tropical Medicine
Volume 2011 (2011), Article ID 635385, 4 pages
http://dx.doi.org/10.1155/2011/635385
Case Report

Anterior Mediastinal Mass: A Rare Presentation of Tuberculosis

1Department of Medicine, All India Institute of Medical Sciences, New Delhi 110 028, India
2Department of Pathology, All India Institute of Medical Sciences, New Delhi 110 028, India

Received 13 September 2010; Revised 7 December 2010; Accepted 15 January 2011

Academic Editor: Peter Leggat

Copyright © 2011 Gopi C. Khilnani et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We report a case of a 14-year-boy who presented to us with a low-grade fever with evening rise for 9 months. Along with this, the patient also reported a reduction in his appetite and body weight. He had a mild dry cough but no respiratory symptoms otherwise. There was no other localization for fever on history. He received antitubercular therapy, based on abnormal chest radiograph. However, there was no relief in his symptoms. General physical examination revealed mild fever. Systemic examination was unremarkable. Blood investigations done for fever were noncontributory. Computed tomographic (CT) scan of the chest revealed a mediastinal mass compressing the trachea. The possibilities of lymphoma or germ cell tumour were considered. A biopsy from the mass under CT guidance was performed. The histopathology revealed multiple epithelioid cell granulomas with necrosis, and the diagnosis of tuberculosis was made. The clinical course of this patient and the relevant literature is presented in this paper.