Diagnosis and treatment of cervical tuberculous lymphadenitis

Weiler, Zeev; Nelly, Poliakov; Baruchin, A.M.; Oren, Shmuel

doi:10.1016/s0278-2391(00)90004-1

Cited by 42 publications

(28 citation statements)

References 12 publications

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“…In agreement with the findings of other studies [23,26] , FNA of the lymph nodes was the most consistent method to identify the bacteriologic agent responsible for lymphadenopathy. In addition, tuberculin skin test was a basic tool in the diagnosis of tuberculosis infection among 72.5% of patients [27] .…”

Section: Discussionsupporting

confidence: 91%

Tuberculous Lymphadenitis at Penang General Hospital, Malaysia

Khan

Sulaiman

Muttalif³

et al. 2010

Med Princ Pract

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Objective: To evaluate the incidence, treatment and clinical outcomes of tuberculous (TB) lymphadenitis at Penang General Hospital, Malaysia. Materials and Methods: Penang General Hospital is the referral center for all tuberculosis patients in the state of Penang. Patient records were reviewed to identify patients with confirmed diagnosis of TB lymphadenitis between January 2006 and December 2008. Data were analyzed using SPSS version 15. Results: Of 1,548 tuberculosis cases, 109 (7.0%) patients had TB lymphadenitis. The mean age was 36.4 ± 12.87 years and of the 109 patients with TB lymphadenitis, 35 (33.0%), 37 (34.0%) and 36 (33.0%) were observed for 2006, 2007 and 2008, respectively. Ethnically, 45 (41.3%) were Malay followed by 37 Chinese (33.9%). Among risk factors for TB lymphadenitis, HIV and diabetes mellitus were seen in 17 (15.6%) and 11 (10.0%) patients, respectively. Cough and fever were the most frequently reported symptoms. In a majority of cases (n = 90, 82.5%) positive results were obtained for fine-needle aspiration (FNA). Directly observed therapy was given to all patients. Sixty-two (56.9%) patients were successfully treated, and 5 (4.6%) patients died during the treatment. Conclusion: There was no increase in the incidence of TB lymphadenitis over the 3-year study period. The incidence was slightly higher in male than female gender and in Malay (ethnic group). Diabetes mellitus and HIV were the most commonly reported risk factors. FNA is the most reliable diagnostic test.

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Section: Discussionsupporting

confidence: 91%

Tuberculous Lymphadenitis at Penang General Hospital, Malaysia

Khan

Sulaiman

Muttalif³

et al. 2010

Med Princ Pract

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“…FNA cytology is useful in the diagnosis of tuberculous and nontuberculous adenitis [16][17][18]. It can detect cervical tuberculous lymphadenitis in 25-77% [19][20][21][22].…”

Section: Smearsmentioning

confidence: 99%

Mycobacterial Cervical Lymphadenitis

Bayazıt

Namıduru

2004

ORL

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Cervical lymphadenitis is the most common head and neck manifestation of mycobacterial infections. The incidence of mycobacterial cervical lymphadenitis has increased. It may be the manifestation of a systemic tuberculous disease or a unique clinical entity localized to neck. It remains a diagnostic and therapeutic challenge because it mimics other pathologic processes and yields inconsistent physical and laboratory findings. A high index of suspicion is needed for the diagnosis of mycobacterial cervical lymphadenitis. A unilateral single or multiple painless lump, mostly located in posterior cervical or supraclavicular region can occur. A thorough history and physical examination, tuberculin test, staining for acid-fast bacilli, radiologic examination, fine-needle aspiration and PCR will be instrumental in arriving at an early diagnosis early institution of treatment before a final diagnosis can be made by biopsy and culture. It is important to differentiate tuberculous from nontuberculous mycobacterial cervical lymphadenitis because their treatment protocols are different. Tuberculous adenitis is best treated as a systemic disease with antituberculosis medication. Atypical infections can be addressed as local infections and are amenable to surgical therapy.

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“…Many studies of extrapulmonary tuberculosis [6,7,9,14,16 Á20] have shown a female preponderance, although in some studies the sex distribution has been more even [5,12,13,15,21]. In our study 44 of the 63 patients were female and 19 male.…”

Section: Discussionmentioning

confidence: 43%

Tuberculosis of the head and neck in Finland

Nohrstrom

Kentala

Kuusela

et al. 2007

Acta Oto-Laryngologica

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During 1996-2005, 63 patients were diagnosed with head and neck tuberculosis, the average incidence being 0.6/100,000 per year. The age of the patients varied between 3 and 94 years (mean 47 years). The mean age of patients who were of Finnish extraction (37 patients) was 62 years and that of immigrants (26 patients) was 27 years. Forty-four (70%) patients were female and 19 (30%) male. The majority of patients presented with a neck mass without symptoms of general infection such as fever or fatigue.

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Diagnosis and treatment of cervical tuberculous lymphadenitis

Cited by 42 publications

References 12 publications

Tuberculous Lymphadenitis at Penang General Hospital, Malaysia

Tuberculous Lymphadenitis at Penang General Hospital, Malaysia

Mycobacterial Cervical Lymphadenitis

Tuberculosis of the head and neck in Finland

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