ArticleCureus2026
Cervical Scrofula Revealing Miliary Tuberculosis and Previously Undiagnosed Advanced HIV: A Case Report.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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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.
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Authors and funding
3 authors.
Funding
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Abstract
Cervical tuberculous lymphadenitis, or scrofula, may be the first manifestation of previously undiagnosed advanced HIV, even when concurrent miliary pulmonary tuberculosis produces few or no respiratory symptoms. A 25-year-old male immigrant from Eastern Europe presented with one to two weeks of progressive right cervical and jaw swelling, fever, night sweats, fatigue, and anorexia, without cough, dyspnea, or chest pain. Neck and chest computed tomography demonstrated necrotic bilateral cervical lymphadenopathy, supraclavicular and paratracheal adenopathy, and diffuse miliary pulmonary nodularity. HIV testing revealed advanced untreated infection with a CD4 count of 174 cells/mm³ and HIV-1 RNA of 956,000 copies/mL; QuantiFERON-TB Gold (QIAGEN, Hilden, Germany) was positive. Cervical lymph node biopsy demonstrated necrotizing granulomatous inflammation with acid-fast bacilli. Because the patient could not produce sputum, bronchoscopy with bronchoalveolar lavage (BAL) was performed, and BAL
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