Follow-up results in tuberculous cervical lymphadenitis.
J Laryngol Otol
; 120(2): 129-32, 2006 Feb.
Article
em En
| MEDLINE
| ID: mdl-16359138
ABSTRACT
OBJECTIVE:
To investigate the efficacy of medical antituberculous treatment in patients with tuberculous cervical lymphadenitis (TCL).METHODS:
In the period 1996-2002, 73 TCL patients were reviewed and the results of clinical and laboratory testing were documented. The efficacy of a four-drug chemotherapy regimen was investigated.RESULTS:
Purified protein derivatives (PPD) skin test results were positive in 58 (79 per cent) patients. Chest X-rays revealed changes consistent with tuberculosis in nine (12.3 per cent) patients. The mean duration of medical treatment was 10.04 months. In follow-up evaluation, 14 (20 per cent) patients were considered suspicious for resistant TCL and total excision of all nodes was performed. Histopathology confirmed TB in only 10 of these cases.CONCLUSION:
The high incidence of residual disease in our study indicates that medical treatment (at least nine months of four combined antituberculous drugs) did not seem to be effective. If lymphadenopathy persists, total surgical excision of lymph nodes should be the treatment of choice.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Tuberculose dos Linfonodos
/
Antituberculosos
Tipo de estudo:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adolescent
/
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
J Laryngol Otol
Assunto da revista:
OTORRINOLARINGOLOGIA
Ano de publicação:
2006
Tipo de documento:
Article
País de afiliação:
Turquia