A study of epidemiology and clinico–pathological correlates of cervical lymphadenopathy in a medical college of West Bengal, India

Dr.Ujjwal Bandyopadhyay; Dr.Bijan Kumar Ghosh

Volume : VIII, Issue : VI, June - 2019

A study of epidemiology and clinico–pathological correlates of cervical lymphadenopathy in a medical college of West Bengal, India

Dr. Ujjwal Bandyopadhyay, Dr. Bijan Kumar Ghosh

Abstract :

Peripheral lymph node involvement is the commonest form of extra–pulmonary mycobacterial disease and the cervical region in the most frequently affected site. Mycobacterial tuberculosis is the most common causative agent of infective lymphadenopathy in India.. The present study was carried out in fifty patients who are suspected of having tuberculous lymphadenitis by their clinical presentation and each patient was investigated properly to reach at a positive final diagnosis of Tuberculous lymphadenitis according to RNTCP guidelines. FNAC with both cytological & AFB smear examination was the main stay of diagnosis. Detailed clinical history taking, clinical examination, routine blood tests, microbiological examination, FNAC and other relevant tests were performed and all the results were tabulated to get the correlations among all the epidemiological factors . The following observation & conclusion was made from the present study: TB lymphadenitis is the most common form of extra pulmonary TB and it may occur at any age but most common in second decade. The female are more commonly affected than male with a female: male ratio of 2.3: 1.HIV and diabetes mellitus were important risk factors for developing TB lymphadenitis. About 14% patients had associated pulmonary TB. Blood picture does not help to arrive at a diagnosis. A positive tuberculin test (Mantoux test) has got some role in the diagnosis. FNAC with both cytological & AFB smear examination is the main stay of diagnosis.