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09:20
Intradermal Inoculation of Mycobacterium avium in the Mouse Ear
Published on: July 3, 2025
[Lymphadenitis due to atypical mycobacteria]
Barbara F Hauler1, Philippe Monnier, Jacques Cherpillod
1Service d'ORL et chirurgie cervico-faciale, CHUV, 1011 Lausanne. barbara.hauler@chuv.ch
Revue Medicale Suisse
|October 31, 2008
Summary
Atypical mycobacteria can cause persistent cervical lymphadenitis in children aged 1-5. Early surgical excision is crucial to prevent complications like skin necrosis and fistula.
Area of Science:
- Pediatrics
- Infectious Diseases
- Microbiology
Context:
- Cervical lymphadenitis is a common pediatric condition.
- Viral infections typically cause self-limiting cases.
- Subacute or chronic cases resistant to antibiotics warrant further investigation.
Purpose:
- To review the clinical manifestations, diagnostic approaches, and treatment strategies for atypical mycobacterial cervical lymphadenitis in children.
- To emphasize the importance of considering atypical mycobacteria in non-responsive cases.
- To highlight the critical role of early diagnosis and intervention.
Summary:
- Infections caused by atypical mycobacteria predominantly affect healthy children aged 1 to 5 years.
- Early diagnosis is essential for effective management.
- The treatment of choice involves prompt surgical excision to prevent complications such as skin necrosis and fistula formation.
Impact:
- This review aims to improve the diagnostic accuracy and timely management of atypical mycobacterial lymphadenitis.
- It provides guidance for pediatricians and ENTs in managing challenging cervical lymphadenitis cases.
- Facilitating early surgical intervention can significantly improve patient outcomes and reduce morbidity.
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