Diagnostic challenges in differentiating mediastinal tuberculosis from mediastinal tumors: A case report
Mediastinal tuberculosis poses significant diagnostic challenges due to its nonspecific clinical and radiological features, particularly in high TB incidence regions like Indonesia. Here, we present the case of A 17-year-old male, initially diagnosed with a mediastinal tumor, was later confirmed to...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-01-01
|
| Series: | Respiratory Medicine Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213007124001758 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1823864434946211840 |
|---|---|
| author | Aida Noni Novisari Soeroso Herani Mutia Riandini |
| author_facet | Aida Noni Novisari Soeroso Herani Mutia Riandini |
| author_sort | Aida |
| collection | DOAJ |
| description | Mediastinal tuberculosis poses significant diagnostic challenges due to its nonspecific clinical and radiological features, particularly in high TB incidence regions like Indonesia. Here, we present the case of A 17-year-old male, initially diagnosed with a mediastinal tumor, was later confirmed to have mediastinal tuberculosis (TB). Despite normal lab results, imaging revealed a right parahilar mass. Bronchoscopy indicated bronchial stenosis, and VATS converted to thoracotomy confirmed TB. The patient improved significantly after six months of anti-tuberculosis therapy (ATT). Managing mediastinal tumors and tuberculosis requires tailored surgical interventions like thoracotomy or VATS, emphasizing the need for accurate preoperative diagnoses. This case underscores the importance of comprehensive diagnostic evaluation, including histopathological and microbiological tests, to distinguish TB from other mediastinal pathologies and ensure appropriate treatment. |
| format | Article |
| id | doaj-art-cce5c752b7f949308656f6d26ae19aed |
| institution | Kabale University |
| issn | 2213-0071 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Respiratory Medicine Case Reports |
| spelling | doaj-art-cce5c752b7f949308656f6d26ae19aed2025-02-09T05:00:18ZengElsevierRespiratory Medicine Case Reports2213-00712025-01-0153102152Diagnostic challenges in differentiating mediastinal tuberculosis from mediastinal tumors: A case report Aida0Noni Novisari Soeroso1Herani Mutia Riandini2Department of Pulmonology & Respiratory Medicine, Faculty of Medicine, Universitas Sumatera Utara, Prof. dr. Chairuddin P. Lubis Universitas Sumatera Utara Hospital, Jl. Dr. Mansur No. 5, Medan, 20155, IndonesiaCorresponding author.; Department of Pulmonology & Respiratory Medicine, Faculty of Medicine, Universitas Sumatera Utara, Prof. dr. Chairuddin P. Lubis Universitas Sumatera Utara Hospital, Jl. Dr. Mansur No. 5, Medan, 20155, IndonesiaDepartment of Pulmonology & Respiratory Medicine, Faculty of Medicine, Universitas Sumatera Utara, Prof. dr. Chairuddin P. Lubis Universitas Sumatera Utara Hospital, Jl. Dr. Mansur No. 5, Medan, 20155, IndonesiaMediastinal tuberculosis poses significant diagnostic challenges due to its nonspecific clinical and radiological features, particularly in high TB incidence regions like Indonesia. Here, we present the case of A 17-year-old male, initially diagnosed with a mediastinal tumor, was later confirmed to have mediastinal tuberculosis (TB). Despite normal lab results, imaging revealed a right parahilar mass. Bronchoscopy indicated bronchial stenosis, and VATS converted to thoracotomy confirmed TB. The patient improved significantly after six months of anti-tuberculosis therapy (ATT). Managing mediastinal tumors and tuberculosis requires tailored surgical interventions like thoracotomy or VATS, emphasizing the need for accurate preoperative diagnoses. This case underscores the importance of comprehensive diagnostic evaluation, including histopathological and microbiological tests, to distinguish TB from other mediastinal pathologies and ensure appropriate treatment.http://www.sciencedirect.com/science/article/pii/S2213007124001758Mediastinal tuberculosisMediastinal tumorAnti-tuberculosis therapy (ATT)VATSThoracotomyCase report |
| spellingShingle | Aida Noni Novisari Soeroso Herani Mutia Riandini Diagnostic challenges in differentiating mediastinal tuberculosis from mediastinal tumors: A case report Respiratory Medicine Case Reports Mediastinal tuberculosis Mediastinal tumor Anti-tuberculosis therapy (ATT) VATS Thoracotomy Case report |
| title | Diagnostic challenges in differentiating mediastinal tuberculosis from mediastinal tumors: A case report |
| title_full | Diagnostic challenges in differentiating mediastinal tuberculosis from mediastinal tumors: A case report |
| title_fullStr | Diagnostic challenges in differentiating mediastinal tuberculosis from mediastinal tumors: A case report |
| title_full_unstemmed | Diagnostic challenges in differentiating mediastinal tuberculosis from mediastinal tumors: A case report |
| title_short | Diagnostic challenges in differentiating mediastinal tuberculosis from mediastinal tumors: A case report |
| title_sort | diagnostic challenges in differentiating mediastinal tuberculosis from mediastinal tumors a case report |
| topic | Mediastinal tuberculosis Mediastinal tumor Anti-tuberculosis therapy (ATT) VATS Thoracotomy Case report |
| url | http://www.sciencedirect.com/science/article/pii/S2213007124001758 |
| work_keys_str_mv | AT aida diagnosticchallengesindifferentiatingmediastinaltuberculosisfrommediastinaltumorsacasereport AT noninovisarisoeroso diagnosticchallengesindifferentiatingmediastinaltuberculosisfrommediastinaltumorsacasereport AT heranimutiariandini diagnosticchallengesindifferentiatingmediastinaltuberculosisfrommediastinaltumorsacasereport |