Unmasking tuberculous lymphadenitis in a middle-aged male with Hashimoto’s thyroiditis: a case report

This case underscores the diagnostic complexity associated with TBL in patients with autoimmune diseases such as Hashimoto's thyroiditis. It highlights the necessity for maintaining a broad differential diagnosis for unexplained lymphadenopathy in primary care, particularly when classical symptoms of TB are absent. Primary care clinicians should adopt a proactive approach to persistent lymphadenopathy, including timely escalation to advanced diagnostic tests, to avoid diagnostic delays, ensure timely initiation of effective treatment, and prevent disease progression and potential transmission.