Non-tuberculous mycobacterial lymphadenitis.

Abstract

There were 12 girls and seven boys. All were white, with a mean age of 5-2 years (range 18-9-7 years).Results (Tables 1 and 2) Cervical nodes were the commonest affected (47%) followed by submandibular (31-5%) and preauricular (21%). In 16 (84%) of the children the lymphadenopathy was unilateral. Mean duration of swelling was 6-6 weeks (range 2 weeks-4 months). Appearance of the nodes varied but in 12 (63%) was suggestive of cold abscess with absent or minimal tenderness and fluctuation. Of the other seven, five (26%) had an appearance suggestive of bacterial abscess, one was cystic, and the other was a non-tender, mobile swelling. Glands varied from 1-5-7 cm in length. Two were described as a large mass, and three were fixed to underlying tissues. In one (case 16) infection developed after trauma to the area. Only two children had systemic upset. This was an intermittent fever and mild cough (case 1) and persistent cough (case 8).Routine haematology was unremarkable. One case had a raised white cell count (15 00Ox109/l 368 on 8 May 2018 by guest. Protected by copyright.

Tuberculosis Lymphadenitis in Ethiopia

“…However, lymphadenitis caused by the M. tuberculosis complex seems to adopt a more chronic course compared with lymphadenitis caused by MOTT, which result in a more rapid clinical course (12). In developed countries, MOTT are the most common causes of TBL (36). A report on mycobacterial lymphadenitis from the United States showed that while 95-98z adult patients were infected by M. tuberculosis, 86-92z children were infected by MOTT (M. scrofulaceum, M. avium-intracellulare, and M. kansasii) (14).…”

Mycobacterial Cervical Lymphadenitis

“…A tuberculous infection usually responds very well to antituberculous chemotherapy, whereas a nontuberculous mycobacterial infection may require a surgical intervention [51,52].…”

Granulomatous cervicofacial lymphadenitis in children: a nine-year study in Singapore

“…Four large, retrospective studies have demonstrated that surgical excision of infected nodes has a cure rate between 81% and 92%, which rises to 95% if there is early surgical intervention. (19)(20)(21)(22) A recent, well-conducted trial in which 100 children were randomised to either undergo surgical excision or receive at least 12 weeks of therapy with clarithromycin and rifabutin has shown surgery to be more effective than antibiotic therapy, with cure rates of 96% and 66%, respectively. (23) However, there was a reported complication rate of 28% in children who underwent surgery, which included secondary staphylococcal infection and transient or permanent facial nerve damage.…”