A 36 year old female presented with dry cough ,irregular fever,progressive weakness and anorexia since last 6months and hoarseness of voice since 7 days. On examination there was a2*1.5cm lymph node in the right posterior cervical region.Her ESR was 92 and chest xray showed lt upper lobe opacity and elevated lt hemidiaphragm. Lymph node biopsy wasd consistent with granulomatous lymphadenitis with caseation necrosis. Sputum for AFB wasnegative.
So this case was dignosed as SPUTUM NEGATIVE PULMONARY TUBERCULOSIS with TUBERCULOUS LYMPHADENITIS with LEFT RECURRENT LARYNGEAL NERVE PALSY.