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Ana Lachado1, Alexandre Fernandes1, Carla Teixeira1, Tiago Milheiro Silva2, Laura Marques1

1 - Pediatric Infectious Diseases and Immunodeficiencies Unit, Department of Pediatric, Centro Materno-Infantil do Norte, Centro Hospitalar Universitário do Porto.
2 - Pediatric Infectious Diseases Unit, Hospital Dona Estefânia, Centro Hospitalar Universitário de Lisboa Central.

- Publicação na revista “Birth and Growth Medical Journal” year 2020, vol XXIX, n.o

Resumo: Tuberculous lymphadenitis (TL) is one of the most common forms of extrapulmonary disease in children, but it is not the first diagnostic hypothesis in supraclavicular lymphadenopathy cases. A 16-year-old male born in Angola and living in Porto, Portugal, for nearly one year was observed in the Emergency Department of a Lisbon hospital due to right supraclavicular swelling that had been growing over the last months after a holiday in Angola. He had been treated with unspecified antibiotics six months earlier due to similar swelling in the right cervical region, which spontaneously drained a purulent content. Anorexia, hypersudoresis, and weight loss were reported, without fever, cough, or sputum. On examination, the patient presented a painless supraclavicular lymphadenopathy with 3x2 cm of larger diameter, with fluctuation and local inflammatory signs. Examination was otherwise unremarkable. Usually, TL presents as a chronic lymphadenopathy with few or no systemic symptoms. In this case, systemic symptoms were present. Scrofula can be complicated with ulceration, fistula, or abscess. Other entities that should be considered in the differential diagnosis include malignant illnesses, as lymphoma, or other infections, as bacterial adenitis, cat-scratch disease, or tularemia.

Palavras Chave: Linfadenite tuberculosa, Tuberculose,