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Cervical lymphadenopathy due to mycobacterial infection: a diagnostic protocol

Published online by Cambridge University Press:  29 June 2007

J. P. Davis ,
P. R. Prinsley  and
P. J. Robinson
J. P. Davis*
Affiliation:
Department of E.N.T. Surgery, Barnet General Hospital.
P. R. Prinsley
Affiliation:
Department of E.N.T. Surgery, Barnet General Hospital.
P. J. Robinson
Affiliation:
Department of E.N.T. Surgery, Barnet General Hospital.
*
Mr J. P. Davis, E.N.T. Department, Royal Free Hospital, Pond Street, London NW3 2QG.
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Abstract

Mycobacterial cervical lymphadenopathy is relatively uncommon in the United Kingdom; when cases do occur opportunities for early diagnosis and treatment may be missed. We have reviewed twenty-three cases of mycobacterial cervical lymphadenopathy presenting to an urban general hospital over a four-year period. We discuss the techniques available to aid a diagnosis of mycobacterial disease and suggest a protocol to allow efficient use of these techniques.

Keywords

Lymphadenitis, cervicalMycobacteriumtuberculosis
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 107 , Issue 7 , July 1993 , pp. 614 - 617
Copyright
Copyright © JLO (1984) Limited 1993

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References

American Thoracic Society (1990) Diagnostic standards and classification of tuberculosis. American Review of Respiratory Diseases 142: 725–735CrossRefGoogle Scholar
Anand, J. K., Roberts, J. T. (1991) Disposable tuberculin tests: available and needed. A review. Public Health 105: 257–259CrossRefGoogle ScholarPubMed
Arora, B., Arora, D. R. (1990) Fine needle aspiration cytology in diagnosis of tuberculous lymphadenitis. Indian Journal of Medical Research 91: 189–192Google ScholarPubMed
Betts, R. R, Reese, R. E. (1986) Tuberculosis: basic concepts. In A practical approachto infectious diseases.(Reese, R. E., Gordon, Douglas R. Jr,, eds.) Little, Brown and Company, Boston, United States, pp 235–257.Google Scholar
Brown, L. A., Coghill, S. B. (1992) Fine needle aspiration for the diagnosis and management of granulomatous disease. Cytopathology 3: 9–15CrossRefGoogle ScholarPubMed
Dandapat, M. C, Misha, B. M, Dash, S. B., Kar, P. K. (1990) Peripheral lymph node tuberculosis: a review of 80 cases. British Journal of Surgery 77: 911–912CrossRefGoogle ScholarPubMed
Ellner, P. D., Kiehn, T. E., Cammarata, R., Hosmer, M. (1988) Rapid detection of pathogenic mycobacteria by combining radiometric and nucleic acid probe methods. Journal of Clinical Microbiology, 26: 1349–1352CrossRefGoogle ScholarPubMed
Lau, S. K., Wei, W. I., Hsu, C., Engzell, U. C. G. (1990) Efficacy of fine needle aspiration cytology in the diagnosis of tuberculous cervical lymphadenopathy. Journal of Laryngology and Otology 104: 24–27CrossRefGoogle ScholarPubMed
Lau, S. K., Kwan, S., Lee, J., Wei, W. I. (1991) Source of tubercle bacilli in cervical lymph nodes; a prospective study Journal of Laryngology and Otology 105: 558–561CrossRefGoogle ScholarPubMed
Metre, M. S., Jayaram, G. (1987) Acid-fast bacilli in aspiration smears from tuberculous lymph nodes. An analysis of 255 cases. Ada Cytologica, 31: 17–19Google ScholarPubMed
Medical Research Council (1980) National survey of tuberculosis notifications in England and Wales 1978–1979. Report from the Medical Research Council Tuberculosis and Chest Diseases Unit British Medical Journal 281: 895–898CrossRefGoogle Scholar
Nash, D. R., Douglas, J. E. (1980) Energy in active pulmonary tuberculosis: comparison between positive and negative reactors and evaluation of 5 TU and 250 TU test doses. Chest 77: 32–37CrossRefGoogle Scholar
Radhika, S., Gupta, S. K., Chakrabarti, A., Rajwanshi, A., Joshi, K. (1989) Role of culture in fine-needle aspiration diagnosis of tuberculous lymphadenitis. Diagnostic Cytopathology 5: 260–262CrossRefGoogle ScholarPubMed
Rajwanshi, A., Bhambhani, S., Das, D. K. (1987) Fine needle aspiration cytology diagnosis of tuberculosis. Diagnostic Cytopathology 3: 13–16CrossRefGoogle ScholarPubMed
Robbins, S. L. (1984) Pathologic basis of disease, 3rd edn., Saunders, Philadelphia, U. S. A., pp 64–65 and 341–346.Google Scholar
Shikani, A. H., Hadi, U. M., Mufarrij, A. A., Zaytoun, G. M. (1989) Mycobacterial cervical lymphadenitis. Ear, Nose and Throat Journal 68: 660–672Google Scholar