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Profile of Tuberculous Cervical Lymphadenopathy in Children.
Journal of Tropical Pediatrics 2017 October 2
Aim: Analyze clinical profile of tuberculous cervical lymphadenopathy in children.
Methods and Results: Of 1582 children with tuberculosis (TB), 63 (4%) had tuberculous cervical lymphadenopathy. The mean age at presentation was 7.4 ± 3.8 years (range of 1-14 years). Twenty-nine (46%) patients had bilateral lymphadenopathy, 17 (27%) each had left-sided and right-sided nodes. In 22 cases, culture was done, and 13 (59.1%) grew Mycobacterium tuberculosis of which 6 (46.2%) were drug resistant-1 (16.7%) was polyresistant, 1 (16.7%) was extremely drug resistant (XDR) and 4 (66.7%) were pre-XDR TB. Fifteen (23.8%) patients had TB in the past, of which 7 (46.7%) had previous cervical lymphadenopathy, 6 (40%) had pulmonary TB, 1 (6.7%) multifocal lymphadenopathy and 1 (6.7%) disseminated TB. Contact with a TB patient had occurred in 25 (39.7%) cases.
Conclusion: Tuberculous cervical lymphadenopathy is not so common in children. Bilateral involvement was more common. Mean age at presentation was 7.4 years. Drug resistance was prevalent in these patients.
Methods and Results: Of 1582 children with tuberculosis (TB), 63 (4%) had tuberculous cervical lymphadenopathy. The mean age at presentation was 7.4 ± 3.8 years (range of 1-14 years). Twenty-nine (46%) patients had bilateral lymphadenopathy, 17 (27%) each had left-sided and right-sided nodes. In 22 cases, culture was done, and 13 (59.1%) grew Mycobacterium tuberculosis of which 6 (46.2%) were drug resistant-1 (16.7%) was polyresistant, 1 (16.7%) was extremely drug resistant (XDR) and 4 (66.7%) were pre-XDR TB. Fifteen (23.8%) patients had TB in the past, of which 7 (46.7%) had previous cervical lymphadenopathy, 6 (40%) had pulmonary TB, 1 (6.7%) multifocal lymphadenopathy and 1 (6.7%) disseminated TB. Contact with a TB patient had occurred in 25 (39.7%) cases.
Conclusion: Tuberculous cervical lymphadenopathy is not so common in children. Bilateral involvement was more common. Mean age at presentation was 7.4 years. Drug resistance was prevalent in these patients.
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