Extrapulmonary Tuberculosis Presenting As Stage V Bilateral Cervical Lymphadenitis With Cortical Cerebral Watershed Infarct Along With Maxillary and Sphenoid Sinusitis

TL;DR

This paper reports a rare case of tuberculosis affecting multiple areas outside the lungs in an Indian male.

Contribution

The novelty lies in the combination of bilateral cervical lymphadenitis, cerebral infarct, and sinusitis caused by extrapulmonary tuberculosis.

Findings

Extrapulmonary tuberculosis presented with bilateral cervical lymphadenitis and cerebral watershed infarct.

The case also involved concurrent maxillary and sphenoid sinusitis.

This combination of symptoms has not been previously reported in the literature.

Abstract

Extrapulmonary tuberculosis is an infrequently reported condition. However, in endemic settings, it contributes to a significant number of cases. The most common site of extrapulmonary tuberculosis is the lymph nodes. Herein, an exceedingly rare case of extrapulmonary tuberculosis presenting as bilateral cervical lymphadenitis with external cerebral watershed infarct along with sphenoid and maxillary sinusitis in an Indian male is presented. A detailed literature search revealed that a case with all these clinical conditions together has never been reported to date. A diagnostic workup supported by radiometric investigations helped in the diagnosis, and timely management was initiated.

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