Article Text

Download PDFPDF
Hypercalcaemia in a patient with tuberculous lymphadenitis
  1. Manjunath Kulkarni1,
  2. Archana Bhat2,
  3. Umashankar Toolahally2 and
  4. Modupalli Uday Kumar3
  1. 1Nephrology, Father Muller Medical College, Mangalore, Karnataka, India
  2. 2Pathology, Father Muller Medical College, Mangalore, Karnataka, India
  3. 3Medicine, Father Muller Medical College, Mangalore, Karnataka, India
  1. Correspondence to Dr Manjunath Kulkarni; drmjkulkarni{at}


This case report presents the clinical details, investigations, diagnosis, treatment and outcomes of a male patient in his 50s who presented with weight loss and fatigue. On evaluation, he had axillary lymphadenopathy, along with hypercalcaemia and elevated serum creatinine levels. The patient was diagnosed with tuberculous lymphadenitis based on lymph node biopsy and positive tuberculosis (TB)-PCR results. Treatment involved hydration, salmon calcitonin and zoledronic acid, leading to symptomatic improvement. This case highlights the rarity of hypercalcaemia and renal dysfunction in TB and underscores the importance of considering this entity in the differential diagnosis.

  • cancer - see oncology
  • haematology (drugs and medicines)
  • malignant disease and immunosuppression
  • calcium and bone

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.


  • Twitter @drmjkulkarni

  • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content: MK, AB, UT and MUK. The following authors gave final approval of the manuscript: MK, AB, UT and MUK.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.