“…Although primarily a disease of cervical lymph nodes occurring in immigrant communities, we show that the disease may also present in Caucasians, both immigrant and indigenous, including Caucasian children. Although the classical description of tuberculous cervical lymphadenitis is one of multiple matted nodes, 26,27 these are now uncommon as patients present early. Moreover, many adults in our series presented with a single node, often in the absence of constitutional symptoms.…”
Isolated head and neck TB is not uncommon. Atypical presentations render diagnosis challenging, so awareness aids early diagnosis. Mycobacterial cultures should be performed, where possible, for diagnosis.
“…Although primarily a disease of cervical lymph nodes occurring in immigrant communities, we show that the disease may also present in Caucasians, both immigrant and indigenous, including Caucasian children. Although the classical description of tuberculous cervical lymphadenitis is one of multiple matted nodes, 26,27 these are now uncommon as patients present early. Moreover, many adults in our series presented with a single node, often in the absence of constitutional symptoms.…”
Isolated head and neck TB is not uncommon. Atypical presentations render diagnosis challenging, so awareness aids early diagnosis. Mycobacterial cultures should be performed, where possible, for diagnosis.
“…Surgery plays the most important part in treatment, as it has since the opening of the twentieth century (Dowd, 1916). Thompson's (1936) deprecatory account met firm rebuttal from Barrington-Ward (1937) and others in the period before streptomycin.…”
Tuberculous peripheral lymphadenitis is still a common and often poorly treated manifestation of tuberculosis. One hundred and eighteen cases are reviewed, and the problems of diagnosis and management are considered together with the causes of failure of treatment.
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