Cervical mycobacterial lymphadenitis. Medical vs surgical management. Archives of otolaryngology (Chicago, Ill. : 1960) [Arch Otolaryngol] Journal article

Title	Cervical mycobacterial lymphadenitis. Medical vs surgical management.
Author(s)	Castro DJ, Hoover L, Castro DJ, Zuckerbraun L
Source	Arch Otolaryngol 1985 Dec; 111(12):816-9.
MeSH	Adolescent Adult Antitubercular Agents Child Child, Preschool Female Humans Male Middle Aged Mycobacterium Infections, Atypical Neck Retrospective Studies Tuberculosis, Lymph Node
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.
Language	eng
Pub Type(s)	Journal Article
PubMed ID	4062653

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