Current management of cervicofacial nontuberculous mycobacterial infections in the pediatric population.
Curr Opin Otolaryngol Head Neck Surg
; 31(6): 388-396, 2023 Dec 01.
Article
en En
| MEDLINE
| ID: mdl-37712822
ABSTRACT
PURPOSE OF REVIEW The purpose of this review is to analyze and consolidate recently published literature to provide updated guidelines on the diagnosis and management of nontuberculous mycobacterial lymphadenitis (NTM LAD) in the pediatric population and to suggest areas of further research. RECENT FINDINGS:
Diagnosis of NTM LAD relies on a detailed clinical history, physical examination, laboratory tests, and imaging techniques. Treatment strategies vary widely, with a shift towards complete surgical excision being observed due to its higher cure rate, improved aesthetic outcomes, and lower recurrence rates. However, patient-specific factors must be considered. The role of genetic factors, such as Mendelian susceptibility to mycobacterial disease (MSMD), is being increasingly recognized and could lead to targeted therapies.SUMMARY:
Despite strides in the understanding and management of NTM LAD, substantial gaps remain in key areas such as the role of diagnostic imaging, optimal treatment parameters, postoperative care, and surveillance strategies. In this article, we explain our approach to NTM using the most relevant evidence-based medicine while offering directions for future work.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Linfadenitis
/
Infecciones por Mycobacterium no Tuberculosas
Tipo de estudio:
Guideline
Límite:
Child
/
Humans
Idioma:
En
Revista:
Curr Opin Otolaryngol Head Neck Surg
Asunto de la revista:
OTORRINOLARINGOLOGIA
Año:
2023
Tipo del documento:
Article