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Medicine Immunology and Rheumatology 96324bd2

Most common presentation of extra-pulmonary TB -

A
Tubercular lymphadenitis
B
Peritoneal TB
C
Pericardial TB
D
Tubercular meningitis
High-Yield Explanation
Ans. is 'a' i.e., Tubercular lymphadenitis o The most common presentation of extra-pulmonary TB in both HIV sero-negative and HIV-infected patients to about 35% in eeneral. Ivmph node disease is particularly frequent among HIV infected patients and in children.o Lymph node TB presents as# Painless swelling of the lymph nodes, most commonly at posterior cervical and supraclavicular sites.# Lymph nodes are usually discrete in early disease but de\!elop into a matted non tender mass over time and may residt in a fistulous tract draining caseous material.Type of TBIncidenceTB lymphadenitis40%Genitourinary TB10-15%Skeletal TB10%CNS TB5%Gastrointestinal TB3,5%Pericardial TB0.5% (mainly in HIV positive patients with Case fatality of 40%)

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