PRIMARY MULTIDRUG RESISTANCE TUBERCULOSIS OF LYMPH NODES IN PAEDIATRIC PATIENT

Dr. Arjun Sharma*, Dr. Daljit Singh, Dr. Shagun and Dr. Shaheed Arman Khondekar

ABSTRACT

Tuberculous lymphadenitis stands out as one of the most common forms of extrapulmonary tuberculosis (TB), constituting 35% of extrapulmonary TB cases. This condition is recognized as the localized expression of a systemic disease, emphasizing its representation in the broader context of tuberculosis. Mycobacterium tuberculosis typically enters the body through the respiratory tract and then disseminates via the bloodstream and lymphatic system. The initial lymphoid tissues encountered during the lymphatic spread from the lung parenchyma are the hilar and mediastinal lymph nodes. It may also spread to Cervical lymph nodes often presenting as painless, firm, and progressively enlarging lymph nodes in the neck. This case report delves into the rare occurrence of primary multidrug-resistant tuberculosis (MDR-TB) manifesting in the lymph nodes of pediatric patients. Highlighting a unique clinical presentation, diagnostic challenges, and treatment strategies, the study aims to contribute valuable insights into managing this formidable form of TB in the paediatric population. Through a comprehensive analysis of the case, we underscore the importance of early detection and tailored therapeutic interventions to improve outcomes in primary MDR-TB cases affecting lymph nodes in children.

Keywords: Cervical lymph nodes, MDR-TB, Paediatric.