Volume : IX, Issue : VI, June - 2020

Tuberculous cervical lymphadenitis: A Review

Dr Prakhar Upadhyay, Dr P Dubey, Dr Chandra Mauli Upadhyay

Abstract :

Tuberculosis is one of most important cause of cervical lymphadenitis.It is most common extrapulmonary manifestation of tuberculosis.it leads to a great challenge in diagnosis.it mimics other pathological conditions and yields inconsistent physical and laboratory findings. . A thorough history and physical examination,staining for acid–fast bacilli, fine–needle aspiration and PCR are helpful in obtaining an early diagnosis. It is also important to differentiate tuberculous from nontuberculous mycobacterial cervical lymphadenitis because their treatment protocols vary. Treatment monitoring is more complex due to peculiar behavior of TB lymph nodes. Situation has become worse due to sharp increase in the incidence of atypical mycobacteria, poorly controlled HIV epidemic and rise of drug–resistant TB lymphadenitis. Tuberculous adenitis is best treated as systemic disease with antituberculosis medication. Surgical therapy along with antituberculosis medication can be beneficial in selected patients. Tuberculosis is more prevalent in India, China, Indonesia, South Africa and Nigeria. Tuberculous lymphadenitis is among the most frequent presentations of extrapulmonary tuberculosis (TB). Tuberculous lymphadenitis in the cervical symptoms is about 30 to 40 percent of cases (Singh et al., 2016). The incidence of tubercular lymph node enlargement has appreciably increased with HIV burden. Despite appreciable progress in containing smear positive pulmonary tuberculosis the data on smear negative, extrapulmonary tuberculosis is not so encouraging. Although suspecting and diagnosing cervical tubercular lymphadenopathy is less difficult but challenge in these patients is tracking clinical course and establishment of cure. A new issue is steadily cropping up, drug resistance in tubercular lymphadenopathy. Ideally drug sensitivity should be done in any patient of tuberculosis but should be done at least in retreatment cases. The patients of cervical tubercular lymphadenopathy are relatively well preserved without major clinical symptoms or signs except nodal enlargement. The present study was undertaken in Infectious disease OPD in JLNMCH Bhagalpur Bihar, India to study factors which can address approach towards patients with TB nodal enlargement, methods to track clinical course and ultimately establish cure. The present study is intended to check for resistance patterns in isolated TB adenitis in TB endemic area.

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Article: Download PDF    DOI : 10.36106/ijsr  

Cite This Article:

TUBERCULOUS CERVICAL LYMPHADENITIS: A REVIEW, Dr Prakhar Upadhyay, Dr P Dubey, Dr Chandra Mauli Upadhyay INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-9 | Issue-6 | June-2020

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