Cervical tuberculous lymphadenitis: Clinicopathological profile with correlation to ultrasonography

Swetapadma Pradhan; Biswal Pradipta Trilochan; Debashisha Roy; Pravin. G. Dhone; Pravat Nalini Routray; Neeta Rai

doi:10.53730/ijhs.v6nS2.8424

Cervical tuberculous lymphadenitis

Clinicopathological profile with correlation to ultrasonography

https://doi.org/10.53730/ijhs.v6nS2.8424

Authors

Swetapadma Pradhan Assistant Professor, Department of Pulmonary Medicine, PRM Medical College, Baripada
Biswal Pradipta Trilochan Assistant Professor, Department of Pulmonary Medicine, SCB Medical College, Cuttack
Debashisha Roy Assistant Professor, Department of Surgery, PRM Medical College, Baripada
Pravin. G. Dhone Professor & Head, Department of Pharmacology, RSDKS GMC, Ambikapur
Pravat Nalini Routray Assistant Professor, Department of Radiodiagnosis, P.R.M.Medical College, Baripada
Neeta Rai School of Pharmacy, Vishwakarma University, Pune. Maharashtra, India

Keywords:

cervical lymphadenopathy, USG, FNAC, CBNAAT

Abstract

Background: Diagnosis of cervical tuberculous lymphadenitis has been challenging to clinicians as it mimics multiple diseases. USG has upper hand over other diagnostic modalities as it is non- invasive, low cost, time saving and guided procedures like FNAC and core needle biopsy can be performed. Methods: This is a prospective observational study conducted in 100 patients from June 2019 to May 2020 in Dept of Pulmonary medicine, PRM Medical College and Hospital, Baripada. A complete clinical examination, routine blood investigations, CXR, USG Neck, FNAC and CBNAAT were done and data was recorded. Results: Maximum numbers of patients were in age group of 11-20 years (38%) followed by 21-30 years (32%) and presented between the duration of 1-3 months. There were 44(44%) males and 56(56%) females; male to female ratio was 1:1.3. Most of the patients (70%) did not have any constitutional symptoms and maximum number of patients i.e. 53% had matting of LN followed by discrete node 29% whereas 10% patients presented with abscess and 8% had discharging sinuses. In USG, 46 (46%) showed cervical lymphadenopathy with tubercular aetiology with sensitivity and specificity of 90% and 50% respectively with accuracy of 88%.

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Published

04-06-2022

How to Cite

Pradhan, S., Trilochan, B. P., Roy, D., Dhone, P. G., Routray, P. N., & Rai, N. (2022). Cervical tuberculous lymphadenitis: Clinicopathological profile with correlation to ultrasonography. International Journal of Health Sciences, 6(S2), 12918–12928. https://doi.org/10.53730/ijhs.v6nS2.8424

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Issue

Vol. 6 No. S2 (2022)

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Peer Review Articles

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