We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Cutaneous Reactivity in Tubercular Lymphadenitis

Paolo Bernardeschi, MD; Igino Bonechi, MD
Arch Intern Med. 1995;155(1):116. doi:10.1001/archinte.1995.00430010124021.
Text Size: A A A
Published online


We read with interest the article that appeared in the May 24,1993, issue of the Archives,1 dealing with a case of tuberculous infection in a young man, manifesting by generalized lymphadenopathy, pulmonary infiltrates, and bone destruction.

We observed a somewhat similar patient described elsewhere.2

Report of a Case.  A 72-year-old man was admitted because of fever, abdominal pain, and weight loss. Prominent para-aortic and mesenteric lymph-node enlargement was detected by a computed tomographic scan and sonography. A chest roentgenogram was normal. Tuberculin skin test results were negative as were results of a sputum examination for acid-fast bacilli. The patient was suspected of having malignant lymphoma, and a surgical biopsy specimen of the abdominal lymph nodes revealed caseating granuloma and acid-fast bacilli in Langhans' cells. Subsequently, he was treated with three antituberculous drugs, with gradual resolution of his fever and progressive lymph-node calcification at follow-up sonography 1 year later.


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.