RT Journal Article
SR Electronic
T1 Management strategies for peripheral tuberculous lymphadenopathy
JF Saudi Medical Journal
JO Saudi Med J
FD Prince Sultan Military Medical City
SP 266
OP 269
VO 21
IS 3
A1 Ahmed M. Al-Hadrani
A1 Saleh M. Aulaqi
A1 Saleh F. Al-Salami
A1 Abdul-Malik A. Al-Kabsi
A1 Abdul-Karim M. Al-Zabedi
A1 Ali H. Al-Gamrah
YR 2000
UL http://smj.org.sa/content/21/3/266.abstract
AB 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.