# Extensive Lymphadenopathy in an HIV‐Negative Patient With Multidrug‐Resistant Tuberculosis

## TL;DR

An HIV-negative patient with drug-resistant tuberculosis developed severe lymph node swelling, showing that this can happen even without HIV.

## Contribution

Demonstrates that extensive lymphadenopathy can occur in HIV-negative patients with multidrug-resistant tuberculosis.

## Key findings

- An HIV-negative patient with multidrug-resistant tuberculosis had severe lymph node involvement.
- Extensive lymphadenopathy was observed in multiple extrapulmonary regions.
- This case shows that marked lymph node disease can occur in HIV-negative individuals with TB.

## Abstract

Tuberculous lymphadenitis is generally more severe in patients with HIV infection. We present an HIV‐negative patient with multidrug‐resistant tuberculosis who developed severe, extensive lymphadenitis involving multiple extrapulmonary regions. This clinical image highlights that marked lymph node involvement may occur in HIV‐negative patients presenting with pronounced systemic symptoms.

Extensive lymphadenopathy is uncommon in HIV‐negative patients with tuberculosis. This clinical image highlights the striking CT appearance of extensive extrapulmonary lymph node involvement in symptomatic multidrug‐resistant tuberculosis, even in the absence of HIV infection.