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KMID : 1100920170380030166
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Korean Journal of Family Medicine
2017 Volume.38 No. 3 p.166 ~ p.168
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Superior Vena Cava Syndrome Due to Mediastinal Tuberculous Lymphadenitis
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Jang Jin-Ho
Jeon Doo-Soo
Kim Yun-Seong
Cho Woo-Hyun
Yeo Hye-Ju
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Abstract
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Superior vena cava (SVC) syndrome refers to a medical emergency resulting from compression of the SVC. It requires early diagnosis and treatment, and is usually caused by malignant tumors; rarely, mediastinal tuberculous lymphadenitis can cause SVC syndrome. Here, we present a case study of an immunocompetent 61-year-old woman who presented with acute onset SVC syndrome and was diagnosed with tuberculous lymphadenitis on thoracotomy; the symptoms resolved with anti-tuberculosis therapy. This unusual case highlights the importance of the differential diagnosis in patients presenting with acute onset SVC syndrome; a timely diagnosis and appropriate treatment lead to complete recovery.
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KEYWORD
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Superior vena Cava Syndrome, Lymphadenitis, Tuberculosis, Thoracotomy
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