Follow-up results in tuberculous cervical lymphadenitis
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Tarih
2006
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Cambridge Univ Press
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
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.
Açıklama
108th Annual Meeting of the American-Academy-of-Otolaryngology-Head-and-Neck-Surgery-Foundation -- SEP 19-22, 2004 -- New York, NY
Anahtar Kelimeler
Mycobacterium Tuberculosis, Neck, Lymph Nodes, Follow-Up Studies
Kaynak
Journal of Laryngology and Otology
WoS Q Değeri
Q4
Scopus Q Değeri
Q2
Cilt
120
Sayı
2
