Tubercular Lymphadenitis in Paediatric Patient in E.N.T. Practice

Abstract

Tuberculosis is one of the biggest health challenge, the world is facing. Cervical lymphadenitis is a common manifestation of mycobacterial infections encountered in otorhinolaryngologic practices. 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 minimizes other pathological processes and eyelids in consistent physical and lab findings. A high index of suspicion is needed for the diagnosis of mycobact cervical lymphadenitis and should be considered in the differential diagnosis of a cervical mass especially in endemic areas. Key words: Cervicofacial masses; lymphadenopathy FNAB; HPE; developmental malformations; cystic lesions. DOI: 10.3126/saarctb.v5i2.3074 SAARC J. Tuber. Lung Dis. HIV/AIDS 2008 Vol.5(2) 31-35

Role of fine‐needle aspiration cytology and fluid cytology in extra‐pulmonary tuberculosis

“…Cervical lymphadenopathy is the most common head and neck manifestation of tuberculosis and can occur in any age group. The incidence of cervical lymphadenitis has increased in parallel with the increase of mycobacterial infection world wide 8. In the present series, out of 56 cases of extra‐pulmonary tuberculosis in lymph nodes, cervical lymph node involvement was seen in 51 cases.…”

“…The lung infection in cases of extra‐pulmonary lesions may be dormant or may be a burnt out lesion or precede this by several years. With increasing incidence of HIV infection throughout the world and a lowered immunity, the resurgence of tuberculosis both pulmonary and extra‐pulmonary is a problem to be reckoned with 6–8. Droplet infection may spread the disease to patients even in the absence of a HIV infection.…”