Q:

A patient who came from India presents with cough, fever and enlarged cervical lymph nodes. Exam: caseating granulomata found in lymph nodes. What is the most appropriate diagnosis?

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A patient who came from India presents with cough, fever and enlarged cervical lymph nodes.

Exam: caseating granulomata found in lymph nodes. What is the most appropriate diagnosis?


  1. Lymphoma
  2. TB adenitis
  3. Thyroid carcinoma
  4. Goiter
  5. Thyroid cyst

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The key is B. TB adenitis. [Cough, fever, and cervical lymphadenopathy following travel to India

makes the likely diagnosis of TB. Also caseating granulomata are diagnostic of TB].

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