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A 29-year-old male asked:

Ct result-thorax extensive mediastinal lympopathy with central caseating ,tb lymphopathy to consider skin,blood culture negative it is tb disease?

1 doctor answer2 doctors weighed in
Dr. Martin Raff
Infectious Disease 56 years experience
Caseating granulomas: This sounds like tuberculosis, but may conceivably be systemic fungal infection like Histoplasmosis, rarely lymphoma or sarcoidosis. In India this is probably TB and either should be treated empirically or wait for the results of the biopsied lymph nodes. Sounds as if your doctor is very astute and would heed their advice. Best wishes.

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Last updated Jul 23, 2014

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