Nontuberculous Mycobacterial Cervical Adenitis: A Ten‐Year Retrospective Review
- 2 January 2003
- journal article
- research article
- Published by Wiley in The Laryngoscope
- Vol. 113 (1) , 149-154
- https://doi.org/10.1097/00005537-200301000-00028
Abstract
To review the authors' institutional experience with nontuberculous mycobacterial cervical adenitis in children over a 10-year period. Retrospective chart review. The case histories of 79 children with nontuberculous mycobacterial lymphadenitis who presented to a large tertiary care referral center from 1989 to 1999 were retrospectively analyzed, and the demographics, clinical presentation, methods of diagnosis, and types of surgical intervention they underwent were reported. The mean age at presentation was 3.6 years. The male-to-female ratio was 1:2, and the frequency of presentation was highest in the winter and spring months. The diagnosis was not immediately apparent to most primary health care physicians because there was a delay between the appearance of the lump and referral for treatment, which was in excess of 8 weeks. Involved nodes were mainly treated surgically. The recurrence rate of complete surgical resection was less than 1%. The study highlights the fact that a high index of clinical suspicion is needed to make an early diagnosis of nontuberculous mycobacterial lymphadenitis and lends further weight to the already existing evidence that surgical excision remains the mainstay of successful treatment for lymphadenitis caused by nontuberculous mycobacteria.Keywords
This publication has 20 references indexed in Scilit:
- Surgery for Cervicofacial Nontuberculous Mycobacterial Adenitis in ChildrenAn UpdateJAMA Otolaryngology–Head & Neck Surgery, 1999
- Imaging of granulomatous neck masses in childrenInternational Journal of Pediatric Otorhinolaryngology, 1996
- Mycobacterial Lymphadenitis in Children: A Prospective Study of 105 Nontuberculous Cases with Long-Term Follow-UpClinical Infectious Diseases, 1995
- Atypical tuberculosis in the pediatric patient: Implications for the pediatric surgeonJournal of Pediatric Surgery, 1992
- Cervicofacial Mycobacterial Adenitis in ChildrenThe Laryngoscope, 1990
- AtypicaH mycobacterial infection of the parotid glandJournal of Pediatric Surgery, 1990
- Non-tuberculous mycobacterial lymphadenitis in childrenEuropean Journal of Pediatrics, 1989
- Management of nontuberculous (atypical) mycobacterial infections in children and adolescentsThe Pediatric Infectious Disease Journal, 1985
- Mycobacterial Cervical LymphadenopathyPublished by American Medical Association (AMA) ,1984
- Cervical lymphadenopathy from atypical mycobacteria: Diagnosis and surgical treatmentJournal of Pediatric Surgery, 1975