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- Tamara Phiri, Joep van Oosterhout, Samuel Kampondeni, Theresa Allain, and Henry C Mwandumba.
- Department of Medicine, University of Malawi College of Medicine, Blantyre, Malawi.
- Chest. 2022 Mar 1; 161 (3): e145-e148.
Case PresentationA 34-year-old man presented to Queen Elizabeth Central Hospital in Blantyre, Malawi with multiple enlarged right cervical lymph nodes. He had no associated constitutional symptoms. Fine-needle aspirate (FNA) of one of the lymph nodes was negative for acid-fast bacilli (AFB) by smear microscopy. The FNA specimen was not sent for histological examination. Mycobacterial culture and Xpert MTB/RIF were not available at the time. He tested positive for HIV but CD4 T-cell count was not requested at the time of HIV diagnosis, and he did not start antiretroviral therapy (ART) pending confirmation of the cause of lymphadenopathy. Excision biopsy of the lymph nodes was planned; however, the patient was lost to follow-up before the procedure was performed.Copyright © 2021 The Author(s). Published by Elsevier Inc. All rights reserved.
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