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Extrapulmonary tuberculosis in patients with cervical lymphadenopathy
Fazal-I-wahid1, Habib-Ur-Rehman2, Iftikhar Ahmad2
1Department of ENT, Head and Neck Surgery, Postgraduate Medical Institute, Lady Reading Hospital, Peshawar, Pakistan. drfazal58@yahoo.com
Tuberculous lymphadenitis is common in young, impoverished females with low body mass index. Early diagnosis of this extrapulmonary tuberculosis is crucial, especially in at-risk populations.
Area of Science:
- Medical Research
- Infectious Diseases
- Public Health
Background:
- Cervical lymphadenopathy is a common clinical presentation.
- Tuberculous lymphadenitis is a significant cause of extrapulmonary tuberculosis.
Purpose of the Study:
- To determine the frequency of tuberculous lymphadenitis in patients presenting with cervical lymphadenopathy.
- To investigate the association between tuberculous lymphadenitis and body mass index (BMI).
Main Methods:
- A descriptive cross-sectional study was conducted involving 101 patients with enlarged cervical lymph nodes.
- Diagnosis of tuberculosis was confirmed via fine needle aspiration and/or open biopsies.
- Data on patient demographics, socioeconomic status, and clinical presentation were collected and analyzed.
Main Results:
- Tuberculous lymphadenitis was diagnosed in 76.24% of patients, making it the most common cause of cervical lymphadenopathy.
- A significant association was found between tuberculous lymphadenitis and low body mass index (p < 0.0001).
- The condition was more prevalent in young females from lower socioeconomic groups.
Conclusions:
- Tuberculous cervical lymphadenopathy is a prevalent condition, particularly affecting young, impoverished females with low BMI.
- A high index of suspicion is essential for timely diagnosis and management.
- This highlights the importance of considering tuberculosis in patients with cervical lymphadenopathy and low BMI.
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