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[Non-tuberculous mycobacterial lymphadenitis].

J van der Laag1, A Pronk, A J Pull ter Gunne

  • 1Wilhelmina Kinderziekenhuis, Universiteitskliniek voor kinderen en jeugdigen, afd. Kinderlongziekten en kinderchirurgie, Utrecht.

Nederlands Tijdschrift Voor Geneeskunde
|May 5, 1990
PubMed
Summary

This study details cervical lymphadenitis in children caused by non-tuberculous mycobacteria (NTM). Primary surgical excision is recommended, with medical treatment reserved for severe or systemic NTM infections.

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Area of Science:

  • Pediatric Infectious Diseases
  • Mycobacterial Infections
  • Surgical Management

Context:

  • Cervical lymphadenitis is a common pediatric condition.
  • Non-tuberculous mycobacteria (NTM) are increasingly recognized as a cause.
  • Accurate diagnosis and appropriate management are crucial.

Purpose:

  • To describe clinical features and outcomes of pediatric cervical lymphadenitis due to NTM.
  • To evaluate diagnostic methods, including skin testing and culture.
  • To recommend optimal treatment strategies for NTM cervical lymphadenitis.

Summary:

  • Twenty-two children aged 1-12 years with NTM cervical lymphadenitis were analyzed.
  • Skin tests identified the causative agent in 20/22 cases; Mycobacterium avium was the most common isolate.

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  • Primary surgical excision of the affected lymph node is the preferred treatment.

    • Impact:

    • Highlights the efficacy of surgical intervention for NTM cervical lymphadenitis in children.
    • Provides guidance on the judicious use of antituberculous drugs.
    • Contributes to improved management protocols for pediatric mycobacterial infections.