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[Mycobacterial cervical lymphadenitis: role of surgery]. / Adénopathies cervicales tuberculeuses: place de la chirurgie.
Mani, R; Belcadhi, M; Harrathi, K; Rejeb, A Ben; Benali, M; Abdelkefi, M; Bouzouita, K; Bouzouita, H.
Afiliação
  • Mani R; CHU Farhat Hached, Service ORL, 4000 Sousse, Tunisie. mani_radhouane@yahoo.fr
Rev Laryngol Otol Rhinol (Bord) ; 126(2): 99-103, 2005.
Article em Fr | MEDLINE | ID: mdl-16180349
ABSTRACT

OBJECTIVE:

To discuss the place of surgery in the management of mycobacterial cervical lymphadenitis. PATIENTS AND

METHODS:

It's a retrospective study (1982-2002) about 246 patients treated in the ENT department of Farhat Hached Sousse for cervical lymph node tuberculosis. Resolution was considered when neither symptoms nor lymphadenopathy in examination were noted.

RESULTS:

The mean age of our patients was 28 years. A light female prevalence was noted. In 5 patients diagnosis was established by lymph node punction. A medical treatment of first intention was then managed with a failure in 3 cases, after deadlines from 3 to 4 months. All other patients were operated cellulolymphadenectomy (47%), adenectomy (47%) or drainage of a cervical abscess (4%). Recurrence and antituberculosis treatment resistance were noted respectively in 6% and 3% of cases.

DISCUSSION:

Two questions are still discussed in the management of mycobacterial cervical lymphadenitis 1- Is surgery necessary for the diagnosis? 2- When is surgery indicated directly? Histological specimen established the diagnosis in all cases and excluded a mestastatic lymph node. In some situations surgery must be indicated at first cold abscess, lymph node fistulation.

CONCLUSION:

Surgery still has an important place in the treatment of tuberculosis lymphadenopathy.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Tuberculose dos Linfonodos / Mycobacterium tuberculosis Tipo de estudo: Observational_studies / Risk_factors_studies Limite: Adolescent / Adult / Aged / Child / Child, preschool / Female / Humans / Male / Middle aged Idioma: Fr Revista: Rev Laryngol Otol Rhinol (Bord) Ano de publicação: 2005 Tipo de documento: Article País de afiliação: Tunísia
Buscar no Google
Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Tuberculose dos Linfonodos / Mycobacterium tuberculosis Tipo de estudo: Observational_studies / Risk_factors_studies Limite: Adolescent / Adult / Aged / Child / Child, preschool / Female / Humans / Male / Middle aged Idioma: Fr Revista: Rev Laryngol Otol Rhinol (Bord) Ano de publicação: 2005 Tipo de documento: Article País de afiliação: Tunísia