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Cervical Mycobacterial Lymphadenitis: Medical vs Surgical Management

Cervical Mycobacterial Lymphadenitis: Medical vs Surgical Management Abstract • After years in its decrease, cervical mycobacterial adenitis is once again an increasing problem in Los Angeles County. We reviewed 54 cases of cervical lymphadenopathies treated over ten years. Twenty-five (46%) of these patients were found to have mycobacterial cervical lymphadenitis. Medical approaches often failed to conclusively diagnose this disease. In our series, none of the patients with cervical adenopathies (36%) treated only medically regressed, even after an average time of 18 months of antituberculosis drug treatment. The treatment of choice seems to be surgical excision and long-term antituberculosis drugs. Surgery provides a rapid tissue diagnosis and confirms the bacterial type, including atypical mycobacterium. This approach is simple, shortens hospitalization, is cost-effective, and carries a low morbidity. (Arch Otolaryngol 1985;111:816-819) References 1. Martin D, Finn R: Reportable diseases . Public Health Lett 1984;6:8-9. 2. Llewelin DM, Dorman D: Cervical lymphadenitis . Aust Paediatr J 1971;7:97-100. 3. Newcombe JF: Tuberculosis cervical lymphadenitis . Postgrad Med J 1971;47:713-718.Crossref 4. Toremalm NG, Wihl JA: Tuberculosis cervical lymphadenitis . Lakartidningen 1968;65:4351-4355. 5. Kent DD: Tuberculosis lymphadenitis: Not a localized disease process . Am J Med Sci 1967; 254:866-871.Crossref 6. Wilmot TJ, James EF, Reilly LV: Tuberculosis cervical lymphadenitis . Lancet 1957;2:1184-1186.Crossref 7. Black BG, Chapman JS: Cervical adenitis in children due to human and unclassified mycobacteria . Pediatrics 1964;33:887-892. 8. Chapman JS: Tuberculosis cervical lymphadenitis . Med Clin North Am 1967;51:503-507. 9. Prissick FH, Masson AM: Cervical lymphadenitis . Can Med Assoc J 1956;75:798-802. 10. Davis SD, Comstock GW: Tuberculosis . J Pediatr 1961;58:771-775.Crossref 11. Ord RJ, Matz GJ: Tuberculosis cervical lymphadenitis . Arch Otolaryngol 1974;99:327-332.Crossref 12. Mair WS: Cervical mycobacterial infection . J Laryngol 1975;89:933-938.Crossref 13. Miller FJW, Cashman JM: Origin of peripheral cervical tuberculous lymphadenitis in childhood . Lancet 1958;1:286-289.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

Cervical Mycobacterial Lymphadenitis: Medical vs Surgical Management

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References (18)

Publisher
American Medical Association
Copyright
Copyright © 1985 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1985.00800140060011
Publisher site
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Abstract

Abstract • After years in its decrease, cervical mycobacterial adenitis is once again an increasing problem in Los Angeles County. We reviewed 54 cases of cervical lymphadenopathies treated over ten years. Twenty-five (46%) of these patients were found to have mycobacterial cervical lymphadenitis. Medical approaches often failed to conclusively diagnose this disease. In our series, none of the patients with cervical adenopathies (36%) treated only medically regressed, even after an average time of 18 months of antituberculosis drug treatment. The treatment of choice seems to be surgical excision and long-term antituberculosis drugs. Surgery provides a rapid tissue diagnosis and confirms the bacterial type, including atypical mycobacterium. This approach is simple, shortens hospitalization, is cost-effective, and carries a low morbidity. (Arch Otolaryngol 1985;111:816-819) References 1. Martin D, Finn R: Reportable diseases . Public Health Lett 1984;6:8-9. 2. Llewelin DM, Dorman D: Cervical lymphadenitis . Aust Paediatr J 1971;7:97-100. 3. Newcombe JF: Tuberculosis cervical lymphadenitis . Postgrad Med J 1971;47:713-718.Crossref 4. Toremalm NG, Wihl JA: Tuberculosis cervical lymphadenitis . Lakartidningen 1968;65:4351-4355. 5. Kent DD: Tuberculosis lymphadenitis: Not a localized disease process . Am J Med Sci 1967; 254:866-871.Crossref 6. Wilmot TJ, James EF, Reilly LV: Tuberculosis cervical lymphadenitis . Lancet 1957;2:1184-1186.Crossref 7. Black BG, Chapman JS: Cervical adenitis in children due to human and unclassified mycobacteria . Pediatrics 1964;33:887-892. 8. Chapman JS: Tuberculosis cervical lymphadenitis . Med Clin North Am 1967;51:503-507. 9. Prissick FH, Masson AM: Cervical lymphadenitis . Can Med Assoc J 1956;75:798-802. 10. Davis SD, Comstock GW: Tuberculosis . J Pediatr 1961;58:771-775.Crossref 11. Ord RJ, Matz GJ: Tuberculosis cervical lymphadenitis . Arch Otolaryngol 1974;99:327-332.Crossref 12. Mair WS: Cervical mycobacterial infection . J Laryngol 1975;89:933-938.Crossref 13. Miller FJW, Cashman JM: Origin of peripheral cervical tuberculous lymphadenitis in childhood . Lancet 1958;1:286-289.Crossref

Journal

Archives of Otolaryngology – American Medical Association

Published: Dec 1, 1985

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