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[Diagnostic and therapeutic aspects of lymphatic tuberculosis: apropos of 42 cases]
M Elloumi1, S Fakhfakh, M Frikha
1Service d'Onco-Hématologie, C.H.U. Hédi Chaker Sfax.
Abstract:
We report a retrospective study of 42 cases of lymph node tuberculosis. We noted symptoms of tuberculosis impregnation in 92%, cervical localization in 71%, positive tuberculin intra-dermo-reaction in 77%, and accelerated erythrocyte sedimentation rate in 73% of the cases. Koch bacillus was detected in expectoration, urine or gastric liquid at the rate of 11% of the cases. Lymph node function was suggestive in 4 out of 12 patients, showing giant cells with or without caseum. Lymph node biopsy, performed in 32 patients, was contributive in 94% of them. Another tuberculous localization was found in 14 cases mainly pulmonary (8 cases).
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