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J Thorac Cardiovasc Surg 2006;131:e11-e12
© 2006 The American Association for Thoracic Surgery

Brief Communication

Mediastinal tuberculous lymphadenitis presenting as superior vena cava syndrome

Charalambos Zisis, MD, PhD a , * , Konstantinos Skevis, MD a , Emmanuel M. Kefaloyannis, MD a , Konstantinos Avgoustou, MD b , Ion Bellenis, MD, PhD, FETCS a

a Department of Thoracic Surgery, Evangelismos General Hospital, Athens, Greece
b Department of Surgery, "Aghia Olga" General Hospital, Athens, Greece.

Received for publication January 11, 2006; accepted for publication February 6, 2006.

* Address for reprints: Charalambos Zisis, MD, 17A Patriarchou Grigoriou str, 166 74-Glyfada, Greece. (Email: chzisis@otenet.gr).

The first 20% of the full text of this article appears below.

Tuberculous lymphadenitis without pulmonary manifestation is an uncommon entity in developed countries, and the possibility of tuberculous infection is usually ignored in the differential diagnosis of lymphadenopathy. Therefore appropriate treatment might be delayed. In many cases tuberculosis presents as fever of unknown origin but rarely with symptoms characteristic of superior vena cava obstruction, such as facial swelling, dyspnea, and cyanosis (SVCS).

Before the era of antibiotics, the vast majority of cases of SVCS 1,2 Go were due to infectious diseases, such as syphilis or tuberculosis, but nowadays, cancer is the main cause of this syndrome. 3 Go In recent years, the outbreak of AIDS has led to an increased incidence of tuberculosis and its complications.

Clinical Summary

A 72-year-old male smoker (50 pack-years) was admitted to the hospital with a 4-week history of fever, malaise, and anemia. He presented with clinical signs of superior vena cava syndrome, whereas chest radiography revealed a mediastinal enlargement particularly caused by the right paratracheal space, where pathologic . . . [Full Text of this Article]




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[Abstract] [PDF]


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