Tuberculous lymphadenitis presenting with Coombs-negative hemolytic anemia, vasculitic rash: A rare association

Tuberculosis (TB) is a widespread infectious disease that primarily affects the lungs but can manifest in extrapulmonary forms, such as lymphadenitis. The occurrence of severe anemia, direct Coombs test-negative hemolysis, and vasculitic rash in a patient with tuberculous lymphadenitis is an uncommon and challenging clinical scenario. We report the case of a 21-year-old male presenting with scattered petechiae, lower limb swelling, and fatigue, ultimately diagnosed with tuberculous lymphadenitis. This case report highlights the importance of considering TB in atypical presentations to ensure timely diagnosis and treatment.