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Research ArticleOriginal Article
Open Access

Management strategies for peripheral tuberculous lymphadenopathy

Ahmed M. Al-Hadrani, Saleh M. Aulaqi, Saleh F. Al-Salami, Abdul-Malik A. Al-Kabsi, Abdul-Karim M. Al-Zabedi and Ali H. Al-Gamrah
Saudi Medical Journal March 2000, 21 (3) 266-269;
Ahmed M. Al-Hadrani
Department of Surgery, Faculty of Medicine, Sana’a University, Sana’a, Republic of Yemen. Tel. 967 1 224963. Fax. 967 1 222111.
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Saleh M. Aulaqi
Department of Pathology, Faculty of Medicine, Sana'a University, Sana’a, Republic of Yemen.
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Saleh F. Al-Salami
Department of Microbiology, Faculty of Medicine, Sana'a University, Sana’a, Republic of Yemen.
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Abdul-Malik A. Al-Kabsi
National Tuberculosis Institute, Sana’a, Republic of Yemen.
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Abdul-Karim M. Al-Zabedi
Department of Radiology, Faculty of Medicine, Sana'a University, Sana’a, Republic of Yemen.
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Ali H. Al-Gamrah
Department of Surgery, Faculty of Medicine, Sana'a University, Sana’a, Republic of Yemen.
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Abstract

OBJECTIVE: To assess the usual means for diagnosing peripheral tuberculous lymphadenitis and present our experience in the management of the disease.

METHODS: Three hundred and two patients with peripheral lymphadenopathy due to tuberculosis were diagnosed and referred by several hospitals in 9 governorates to the National Tuberculosis Institute. Patients were reviewed prospectively regarding diagnosis and treatment.

RESULTS: Histological findings were diagnostic in 94% of patients. In our experience, isolation of mycobacterium from the lymph node tissue was neither practical nor reliable. Four out of 54 patients with bulky caseating nodes or discharging sinuses failed to respond to chemotherapy after 2 months of treatment.

CONCLUSION: Histopathological diagnosis was the most practical method for diagnosing peripheral tuberculous lymphadenopathy. We recommend that patients who had bulky caseating nodes or discharging sinuses, to undergo surgical excision followed by chemotherapy.

  • Copyright: © Saudi Medical Journal

This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Saudi Medical Journal: 21 (3)
Saudi Medical Journal
Vol. 21, Issue 3
1 Mar 2000
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Management strategies for peripheral tuberculous lymphadenopathy
Ahmed M. Al-Hadrani, Saleh M. Aulaqi, Saleh F. Al-Salami, Abdul-Malik A. Al-Kabsi, Abdul-Karim M. Al-Zabedi, Ali H. Al-Gamrah
Saudi Medical Journal Mar 2000, 21 (3) 266-269;

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Management strategies for peripheral tuberculous lymphadenopathy
Ahmed M. Al-Hadrani, Saleh M. Aulaqi, Saleh F. Al-Salami, Abdul-Malik A. Al-Kabsi, Abdul-Karim M. Al-Zabedi, Ali H. Al-Gamrah
Saudi Medical Journal Mar 2000, 21 (3) 266-269;
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© 2023 Saudi Medical Journal Saudi Medical Journal is copyright under the Berne Convention and the International Copyright Convention.  Saudi Medical Journal is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3175. Print ISSN 0379-5284.

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