Clinical analysis of 21 cases of cervical tuberculous lymphadenitis without active pulmonary lesion

Iguchi, Hiroyoshi; Matsushita, Naoki; Teranishi, Yutaka; Yamane, Hideo

doi:10.3109/00016489.2013.789927

Cited by 6 publications

(4 citation statements)

References 13 publications

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“…This indicates that these three regions are important. Furthermore, the ratios of solitary lesions were reported to be 4.0% by Akkara et al, 1 30.3% by Ricciardiello et al, 2 and 14.3% by Iguchi et al 4 ; in the present study, the ratio was as high as 43.3%.…”

Section: Discussionsupporting

confidence: 48%

“…On the other hand, Akkara et al reported that the most commonly affected node was the posterior triangle node (87.6%); 1 whereas, according to the report by Bruzgielewicz et al, the internal jugular node (15/26, 57.7%) and submandibular node (11/26, 42.3%) were the only affected nodes. 3 In our previous study, 4 the most commonly affected sites were the posterior triangle node (26.5%), internal jugular node (24.5%), and supraclavicular node (18.4%). This indicates that these three regions are important.…”

Section: Discussionmentioning

confidence: 83%

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Clinical Study of Extrapulmonary Head and Neck Tuberculosis: A Single-Institute 10-year Experience

Oishi

Okamoto

Teranishi

et al. 2015

Int Arch Otorhinolaryngol

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Introduction Although the incidence of tuberculosis (TB) in Japan has been decreasing yearly, Japan remains ranked as an intermediate-burden country for TB. Objective This study aims to investigate the current situation of head and neck extrapulmonary TB (EPTB) diagnosed in our department. Methods We retrospectively reviewed the clinical records of 47 patients diagnosed with EPTB in the head and neck in our department between January 2005 and December 2014. The extracted data included sex and age distribution, development site, chief complaint, presence or absence of concomitant active pulmonary TB (PTB) or history of TB, tuberculin skin test (TST) results, interferon-gamma release assay (IGRA) results, and duration from the first visit to the final diagnosis of EPTB. Results The subjects consisted of 20 men and 27 women, and age ranged from 6 to 84 years. The most common site was the cervical lymph nodes (30 patients), with the supraclavicular nodes being the most commonly affected (60%). Histopathological examination was performed on 28 patients. TST was positive in 9 out of 9 patients and the IGRA was positive in 18 out of 19 patients. We observed concomitant PTB in 15 out of the 47 patients. Mean duration from the first visit to the final diagnosis of EPTB was 56 days. Conclusion The clinical symptoms of TB, especially those in the head and neck region, are varied. Otolaryngologists should be especially aware of the extrapulmonary manifestations of TB to ensure early diagnosis and treatment from the public health viewpoint.

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Section: Discussionsupporting

confidence: 48%

Section: Discussionmentioning

confidence: 83%

Clinical Study of Extrapulmonary Head and Neck Tuberculosis: A Single-Institute 10-year Experience

Oishi

Okamoto

Teranishi

et al. 2015

Int Arch Otorhinolaryngol

Self Cite

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“… 13 and Iguchi et al . 14 However, the Nidhi et al . found 27.3% of their patients having the past history of TB.…”

Section: Discussionmentioning

confidence: 99%

Tuberculous lymphadenopathy: Experience from the referral center of Northern India

Singh

Tiwari

2016

Niger Med J

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Background:Lymphadenopathy is the common form of extrapulmonary tuberculosis (TB) in the developing country like India. The aim of the study was to assess the clinical and the pathological features of tuberculous peripheral lymphadenopathy along with the effect of the antitubercular drugs on its clinical course.Materials and Methods:A prospective study was carried out in the department of pulmonary medicine from July 2013 to June 2014. Clinico-demographical and pathological characteristics of the patients of tuberculous lymphadenopathy were studied.Results:Two and four cases, 84 (41.2%) male and 120 (58.8%) females were diagnosed as the cases of tuberculous lymphadenopathy. Mean age of the patients were 28.45 ± 12.83. Palpable mass (100%) was the most common presenting feature. Cervical lymphadenopathy (92.6%) was the most common presentation of peripheral tuberculous lymphadenopathy. Most common cytological pattern seen was epithelioid granuloma with caseous necrosis (32.84%) followed by epithelioid granuloma without caseous necrosis on fine needle aspiration cytology (FNAC). Directly observed treatment short course (DOTS) for TB was effective in treating tuberculous lymphadenopathy.Conclusion:Tuberculous lymphadenopathy affects female more often than males. FNAC is the effective mean in diagnosing tuberculous lymphadenopathy. DOTS is the effective mean for treating tuberculous lymphadenopathy.

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“…The risk of extrapulmonary tuberculosis increases with advanced usage of immune-suppressants -as in case of cancer patients, and where body"s own immune system is suppressed as in the case of HIV infection. Extra-pulmonary tuberculosis is associated with visceral lymphadenopathy, tissue abscesses, and negative tuberculin skin test [19][20][21] .…”

Section: Discussionmentioning

confidence: 99%

An interdisciplinary parallel methodological approach for the diagnosis of tuberculosis in the Central state of India

Deva¹,

Songara²,

Sushma³

et al. 2014

IOSRJDMS

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Clinical analysis of 21 cases of cervical tuberculous lymphadenitis without active pulmonary lesion

Cited by 6 publications

References 13 publications

Clinical Study of Extrapulmonary Head and Neck Tuberculosis: A Single-Institute 10-year Experience

Clinical Study of Extrapulmonary Head and Neck Tuberculosis: A Single-Institute 10-year Experience

Tuberculous lymphadenopathy: Experience from the referral center of Northern India

An interdisciplinary parallel methodological approach for the diagnosis of tuberculosis in the Central state of India

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