Cervical tuberculous lymphadenitis
Clinicopathological profile with correlation to ultrasonography
Keywords:
cervical lymphadenopathy, USG, FNAC, CBNAATAbstract
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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References
WHO report 2020
Sharma SK, Mohan A. Extra pulmonary tuberculosis. Indian J Med Res. 2004; 120 :316 -53.
Hegde S, Rithesh KB, Baroudi K, Umar D. Tuberculous lymphadenitis: Early diagnosis and intervention. J Int Oral Health.
Chakravorty S, Sen MK, Tyagi JS. Diagnosis of extrapulmonary tuberculosis by smear, culture and PCR using universal sample processing technology. J Clin Microbiol 2005; 43: 4357-62
Domb CH. Chole RA, The diagnosis and treatment of scrofula (mycobacterial cervical lymphadenitis) Otolaryngology Head Neck Surg. 1980, 88: 338-341.
Ahuja AT, Ying M. Sonographic evaluation of cervical lymph nodes. Am J. Roentgenol.2005; 184 (5). 1691-9
Patil SB etal.Int Journal of Community Med Public Health.2020 Apr; 7(4): 1511 – 1515
Tadesse M. Abebe G. Abdissa K. Aragaw D. Abdella K, Bekele A. et al. GeneXpert MTB/RIF assay for the diagnosis of tuberculous lymphadenitis on concentrated fine needle aspirates in high tuberculosis burden settings. PLoS ONE. 2015; 10(9): 1-9.
Swati Nair et al.Indian journal of Otolaryngol Head Neck Surg; (October 2019) 71 (Suppl 1): S211;DOI 10.1007/s12070 – 017-1235-x
Goutam H,Agrawal SK,Verma SK,Singh UB.Cervical tuberculous lymphadenitis: Clinical profile and diagnostic modalities.Int j Mycobacteriol 2018;7:212-216
Sharma N et al.Int J Otorhinolaryngol Head Neck Surg.2020 Mar;6(3):551 – 557
Jha B, Dass A, Nagarkar N, et al. Cervical pattern and concepts in management. Postgrad Med J 2001; 77(905): 185 – 187.
Dandapat MC, Mishra BM, Dash SP, et al. Peripheral lymph node tuberculosis: a review of 80 cases. Br J Surg 1990; 77:911-2
Cheung WL, Siu KF, Ng A. Tuberculous cervical abscess comparing the result of total excision against simple incision and drainage. Br J Surg 1988;75:563-4.
Motiwala MA, Dalmia D,Behara SK. Cervical lymphadenopathy: a clinicopathological study. Int j torhinolaryngol Head Neck Surg.2017;3:210-5.
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