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Tuberculous lymphadenitis presenting with Coombs-negative hemolytic anemia, vasculitic rash: A rare association

Year: 2026

Type: article

Abstract: Tuberculosis (TB) is a widespread infectious disease that primarily affects the lungs but can manifest in extrapulmonary forms, such as lymphadenitis. The occurrence of severe anemia, direct Coombs test-negative hemolysis, and vasculitic rash in a patient with tuberculous lymphadenitis is an uncommon and challenging clinical scenario. We report the case of a 21-year-old male presenting with scattered petechiae, lower limb swelling, and fatigue, ultimately diagnosed with tuberculous lymphadenitis. This case report highlights the importance of considering TB in atypical presentations to ensure timely diagnosis and treatment.

Source: Indian Journal of Medical Sciences

DOI: 10.25259/ijms_94_2025

Authors: Prudvi Tarun Betha, Angela Philips

Institution: Shri Guru Ram Rai Institute of Medical & Health Sciences

Language: English

Topic: Diagnosis and treatment of tuberculosis

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W7138163646