Published: 2021-02-25

Can we afford to forget the old killer (tuberculosis) in this COVID-19 pandemic: a case report of scrofula with COVID-19 in a health care worker

Roshan Lal, Rajesh Bhawani, Nitesh Kumar, Jyoti Bala, Sharab Chhopal


In the current scenario of COVID-19 pandemic, we are encountering COVID-19 patients with vague symptoms and in association with many other diseases. We are reporting such a case where neglecting other cause of pyrexia in a patient of COVID-19 would have resulted in disastrous consequences. A young 22 years aged female was admitted to our hospital as COVID-19 with right supraclavicular lymphadenopathy, she was subjected to FNAC of right supraclavicular lymph node. In RT-PCR Mycobacterium Tuberculosis was detected. After three days of starting on Antitubercular drugs she became afebrile. It is important to ensure early diagnosis and continuity of services for tuberculosis along with effective and rapid response to COVID-19 pandemic, so that anticipated increase in TB related deaths during this pandemic can be prevented.


Scrofula, Extra pulmonary tuberculosis, COVID-19

Full Text:



David J Cennimo.Coronavirus Disease 2019 (COVID-19). Medscape. 2020.

Lewis MR. Scrofula Overview of Scrofula Drugs & Diseases > Otolaryngology and Facial Plastic Surgery. Updated: 10 May 2019.

Zhu N, Zhang D, Wang W. A novel coronavirus from patients with pneumonia in China, 2019. N Engl J Med. 2020;382(8):727-33.

Doremalen VN, Bushmaker T, Morris DH. Aerosol and surface stability of SARS-CoV-2 as compared with SARS-CoV-1. N Engl J Med. 2020;382(16):1564-7.

World Health Organization. Novel coronavirus (2019-nCoV) situation report - 6. 2020.

Liu Z, Bing X, Zhi XZ. Novel Coronavirus Pneumonia Emergency Response Epidemiology Team. The epidemiological characteristics of an outbreak of 2019 novel coronavirus diseases (COVID-19) in China. 2020;41(2):145-51.

Madhukar Pai. COVID-19 Coronavirus and Tuberculosis: We Need A Damage Control Plan. Forbes. 2020.

Scrofula CJ. Available at: Accessed on 20 September 2008.

World Health Organisation. World Health Organization (WHO) Information Note Tuberculosis and COVID-19 on 11 May 2020.