Tuberculous lymphadenitis

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Background

  • Most common form of extrapulmonary TB
  • Tuberculous lymphadenitis in the cervical region is known as scrofula
  • TB causes up to 43% of peripheral lymphadenopathy in the developing world [1]
  • Most cases occur in the setting of reactivation of latent infection
  • In the US, more common amoung Asian Pacific Islanders and in females

Clinical Features

  • Enlarging, painless, red, firm, mass, most commonly in the anterior or posterior cervical chain
  • Can be complicated by ulceration, fistula, or abscess formation
  • Systemic signs and symptoms are uncommon, except in HIV patients (in whom lymphadenitis is usually generalized)

Differential Diagnosis

Evaluation

Management

Disposition

See Also

External Links

References

  1. Dandapat MC, Mishra BM, Dash SP, Kar PK. Peripheral lymph node tuberculosis: a review of 80 cases. Br J Surg. 1990;77(8):911-2.

Authors

Lisa Yee