Evidence map›Paper›PMID 41646157›Full record

ArticleClinical case reports2026

A Granulomatous Puzzle: Tubercular Lymphadenitis Without AFB Clues.

Anupriya Sah, Iccha Kumar Maharjan, Pragya Regmee, Abhinaya Luitel

Abstract read
In one paragraph

Article in Clinical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Anupriya SahCollege of Dental Surgery BP Koirala Institute of Health Sciences Dharan Nepal.ORCID https://orcid.org/0009-0005-6344-0577
Iccha Kumar MaharjanDepartment of Oral Medicine and Radiology, College of Dental Surgery BP Koirala Institute of Health Sciences Dharan Nepal.
Pragya RegmeeDepartment of Oral Medicine and Radiology, College of Dental Surgery BP Koirala Institute of Health Sciences Dharan Nepal.
Abhinaya LuitelDepartment of Oral Medicine and Radiology, College of Dental Surgery BP Koirala Institute of Health Sciences Dharan Nepal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tubercular lymphadenitis (TBL) is the most common form of extrapulmonary tuberculosis (EPTB), accounting for 20%-40% of EPTB cases. We present you a case of a 45-year-old male presented with gradually progressive swelling in the lower right side of the jaw for 2 months. At his initial consultation at another center, a diagnosis of carcinoma of the right lower alveolus was suggested. However, the histopathological examination (HPE) performed at the same center revealed a tubercular granulomatous lesion. As the patient's symptoms didn't seem to correlate with this diagnosis, he didn't initiate his treatment there and sought further evaluation at our institution. In course of further investigation, Fine Needle Aspiration Cytology (FNAC) suggested for TBL but Acid-Fast Bacilli (AFB) and Gene Xpert showed negative results for mycobacterium tuberculosis. After 2 months of antitubercular regimen, the patient responded well to drugs with significant reduction in swelling. This case highlights the diagnostic challenge of atypical presentations of TBL in the head and neck region, emphasizing the role of rapid and minimally invasive FNAC for the early diagnosis of TBL even with negative Gene Xpert and AFB stain.

Indexed as

granulomatous diseaselymphadenitislymphadenopathytuberculosis

Identifiers

PMID41646157
PMCPMC12868917

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.