Clinico-Pathological and demographic profile of patients of cervical tubercular lymphadenitis in hilly region of Uttarakhand

Abstract

Tuberculosis (TB) is a communicable disease that is a major cause of ill health. The hilly region of Uttarakhand has difficult terrain and is one of the least accessible regions of the country. This present study was to evaluate the Clinico-pathological and demographic profile of patients of cervical tubercular lymphadenitis in hilly region of Uttarakhand, India. Detailed History and physical examination was to done and all previous investigations were compiled. Routine investigations like HIV, RBS and Chest X-Ray PA view, if not done earlier, were done of every patient. Lymph nodes were assessed according to system adopted by the American Academy of Otolaryngology Head and Neck Surgery. The age of the patients ranged from 14 to 64 years with a mean age of 35 years (SD=12.27). The commonest age group was 16-30 years (42.73%). Male: Female ratio was 1:1.34. Among 110 patients, 88 (80%) presented with solid lymph nodes, 20 (18.2%) with abscess and 2 (1.8%) with discharging sinus. FNAC was done in all 110 cases and found AFB positive in 45 (40.9%) cases. Disease is relatively more common in younger patients. Constitutional symptoms were absent in some of the patients.

Histopathological Review of Granuloma in Diagnosis of Tuberculosis Lymphadenitis (TBL)

“…The demographic profiles of this study were consistent with studies of Southeast Asian regions, where most of the subjects were from rural areas. [11][12][13] The right cervical lymph node was the most common predilection in our study (46%), a consistent survey of Kamal et al, 14 but much higher in north India (67.8%). Gautam et al 15 study found that cervical lymph nodes are the most common site of tuberculous lymphadenopathy in 60%-90% of cases.…”