Hostname: page-component-586b7cd67f-rdxmf Total loading time: 0 Render date: 2024-11-24T10:43:25.804Z Has data issue: false hasContentIssue false
  • English
  • Français

Source of tubercle bacilli in cervical lymph nodes: A prospective study

Published online by Cambridge University Press:  29 June 2007

S. K. Lau ,
S. Kwan ,
J. Lee  and
W. I. Wei
S. K. Lau*
Affiliation:
Department of Surgery, University of Hong Kong, Queen Mary Hospital, Hong Kong.
S. Kwan
Affiliation:
Tuberculosis and Chest Service, Grantham Hospital, Hong Kong.
J. Lee
Affiliation:
Tuberculosis and Chest Service, Grantham Hospital, Hong Kong.
W. I. Wei
Affiliation:
Department of Surgery, University of Hong Kong, Queen Mary Hospital, Hong Kong.
*
Dr Sai-Kit Lau, Department of Surgery, University of Hong Kong, Queen Mary Hospital, Hong Kong.
Get access Rights & Permissions [Opens in a new window]

Abstract

A prospective study searching for associated mycobacterial infection of the upper aerodigestive tract in patients with cervical tuberculous lymphadenitis (TBLN) was carried out. One hundred and thirteen patients with a clinical suspicion of cervical TBLN were included. All patients had a physical examination of the upper aerodigestive tract. Routine endoscopy and biopsy of the nasopharynx were performed. All of them had surgery to the cervical lymph node. Seventy-five patients had histologically confirmed cervical TBLN. Culture of the lymph node specimen showed Mycobacterium tuberculosis in 68 (90 per cent). In 45 (60 per cent) patients with cervical TBLN the primary foci of infection could not be found. Twenty-nine (39 per cent) had radiographic evidence of active or healed pulmonary tuberculosis. Sputum culture from two patients showed Mycobacterium tuberculosis. Five patients (six per cent) had tuberculous nasopharyngitis. In one of them (one per cent) the tuberculous nasopharyngitis was primary as no other evidence of mycobacterial infection was found. In the present study, mycobacterial infection of other parts of the upper aerodigestive tract was not found.

Keywords

TuberculosisLymphadenitis
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 105 , Issue 7 , July 1991 , pp. 558 - 561
Copyright
Copyright © JLO (1984) Limited 1991

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Alleva, M., Guida, R. A., Romo, T., Kimmelman, C. P. (1988) Mycobacterial cervical lymphadenitis, a persistent diagnostic problem. Laryngoscope, 98: 855–857.CrossRefGoogle ScholarPubMed
British Thoracic Society Research Committee (1988) Short Course chemotherapy for lymph node tuberculosis: Final report at five years. British Journal of Diseases of the Chest, 82: 282–284.Google Scholar
Campbell, I. A. (1990) The treatment of superficial tuberculous lymphadenitis. Tubercle, 71: 1–3.CrossRefGoogle ScholarPubMed
Chan, M. K. M., McGuire, L. J., Lee, J. C. K. (1989) Fine needle aspiration cytodiagnosis of nasopharyngeal carcinoma in cervical lymph nodes. A study of 40 cases. Acta Cytologica, 33: 344–350.Google ScholarPubMed
Deitel, M., Bendago, M., Krajden, S., Ronald, A. C., Borowy, Z. J. (1989) Modern management of cervical scrofula. Head and Neck, 11: 60–66.CrossRefGoogle ScholarPubMed
Dwyer, D. E., Macleod, C., Collignon, P. J., Sorrell, T. C. (1987) Extrapulmonary tuberculosis–a continuing problem in Australia. Australian and New Zealand Journal of Medicine, 17: 507–511.CrossRefGoogle ScholarPubMed
Martinson, F. D. (1967) Primary tuberculosis of the nasopharynx in a Nigerian. Journal of Laryngology and Otology, 81: 229–233.CrossRefGoogle Scholar
Newcombe, J. F. (1971) Tuberculous cervical lymphadenopathy. Postgraduate Medical Journal, 47: 713–717.CrossRefGoogle ScholarPubMed
Powell, D. A. (1988) Tuberculous lymphadenitis. In Tuberculosis 2nd edition (David Schloss, Berg, eds.) Springer-Verlag: New York p. 99–105.CrossRefGoogle Scholar
Rohwedder, J. J. (1974) Upper respiratory tract tuberculosis 16 cases in a general hospital. Annals of Internal Medicine, 80: 708–713.CrossRefGoogle Scholar
Sham, J. S. T., Wei, W. I., Kwan, W. H., Chan, C. W., Choi, P. H. K., Choy, D. (1989) Fiberoptic endoscopic examination and biopsy in determining the extent of nasopharyngeal carcinoma. Cancer, 64: 1838–1842.3.0.CO;2-C>CrossRefGoogle ScholarPubMed
Sim, T., Ong, B. H. (1972) Primary tuberculosis the nasopharynx. Singapore Medical Journal, 13: 39–43.Google ScholarPubMed
Siu, K. F., Ng, A., Wong, J. (1983) Tuberculous lymphadenopathy. A review of results of surgical treatment. Australian and New Zealand Journal of Surgery, 53: 253–257.CrossRefGoogle ScholarPubMed
Tomblin, J. L., Roberts, F. J. (1979) Tuberculous cervical lymphadenitis. Canadian Medical Association Journal, 121: 324–330.Google ScholarPubMed
Wilmot, T. J., James, E. F., Reilly, L. V. (1957) Tuberculous cervical adenitis. Lancet, 2: 1184–1187.CrossRefGoogle Scholar