TB Management pdf Cases

We report a rare case of new EPTB (tuberculous lymphadenitis) caused by Rifampicin Resistant Mycobacterium tuberculosis (MTB) in an HIV seronegative patient at Mulago Hospital, Kampala, Uganda.
A 28 year old woman who first presented to the Infectious Diseases Institute (IDI) clinic in August 2010 with a four month history of spontaneous, progressively enlarging ulcers on the anterior aspect of the left leg. At that visit, she was tested and found to be HIV positive with a CD4+ cell count of 295 cells/μl