BMJ Case Reports 2012; doi:10.1136/bcr.06.2011.4337
  • Reminder of important clinical lesson

Extra-pulmonary primary multidrug-resistant tubercular lymphadenitis in an HIV negative patient

  1. Jabeed Parengal
  1. Department of Pulmonary Medicine, CSMMU, Lucknow, India
  1. Correspondence to Professor Surya Kant, dr.kantskt{at}


A 28-year-old woman without any history of prior antituberculosis treatment presented with cervical lymphadenopathy and a cold abscess near medial end of clavicle of 5 months duration. Pus culture and sensitivity revealed Mycobacterium tuberculosis resistant to rifampicin and isoniazid. Thus she was diagnosed as a case of primary multidrug-resistant tuberculosis and treated with second line drugs according to culture susceptibility pattern. On completion of therapy, patent showed good clinical response. This case highlights the observation that even extra-pulmonary primary multidrug-resistant tuberculosis can be successfully treated with currently available second line drugs.


  • Competing interests None.

  • Patient consent Obtained.

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