Tuberculous Lymphadenopathy.
10.3904/kjm.2015.88.3.262
- Author:
Sang Won PARK
1
Author Information
1. Division of Infectious Diseases, Department of Internal Medicine, Boramae Medical Center, Seoul National University College of Medicine, Seoul, Korea. hswon1@snu.ac.kr
- Publication Type:Review
- Keywords:
Tuberculosis;
Lymphadenopathy;
Fine-needle aspiration;
Diagnosis
- MeSH:
Biopsy;
Biopsy, Fine-Needle;
Diagnosis;
Lymph Nodes;
Lymphatic Diseases*;
Tuberculosis
- From:Korean Journal of Medicine
2015;88(3):262-266
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Cervical tuberculous lymphadenopathy is a common form of extrapulmonary tuberculosis (TB). Fine-needle aspiration is the first step in lymph node evaluation; excisional biopsy is an alternative tool. TB culture and drug sensitivity testing must feature in any initial evaluation. A 6-month short course of a four-drug combination of anti-TB medications is standard. Paradoxical aggravation of lymphadenopathy during and after treatment poses a diagnostic challenge. Although the condition usually resolves spontaneously, microbiological considerations are appropriate and an alternative diagnosis should be contemplated.
