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Case Reports

A challenging diagnosis of pyrexia of unknown origin: isolated iliac tuberculous lymphadenitis complicated by psoas abscess

Authors:

W. K. M. N. U. Wanniarachchi ,

Colombo South Teaching Hospital, Kalubowila, LK
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W. R. A. M. Pemasiri,

Colombo South Teaching Hospital, Kalubowila, LK
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C. L. Munagama,

Colombo South Teaching Hospital, Kalubowila, LK
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A. G. H. Sugathapala,

Colombo South Teaching Hospital, Kalubowila, LK
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M. N. N. Masaima

Colombo South Teaching Hospital, Kalubowila, LK
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Abstract

Pyrexia of unknown origin is a challenge in clinical practice. Extrapulmonary tuberculosis is considered a common cause for pyrexia of unknown origin which has a wide spectrum of clinical manifestations, culminating in delayed diagnosis. However, due to its treatable nature and good prognosis, a high index of suspicion is needed to diagnose atypical presentations. This case report elaborates isolated involvement of iliac lymph node in tuberculosis which is a rare presentation of tuberculous lymphadenitis.  

How to Cite: Wanniarachchi, W.K.M.N.U., Pemasiri, W.R.A.M., Munagama, C.L., Sugathapala, A.G.H. and Masaima, M.N.N., 2021. A challenging diagnosis of pyrexia of unknown origin: isolated iliac tuberculous lymphadenitis complicated by psoas abscess. Anuradhapura Medical Journal, 15(1), pp.23–25. DOI: http://doi.org/10.4038/amj.v15i1.7687
Published on 15 Aug 2021.
Peer Reviewed

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