IJCRR - Vol 06 Issue 06, March, 2014
TUBERCULAR CERVICAL LYMPHADENITIS : EXPERIENCE OVER A FOUR YEAR PERIOD
Author: Vineet Chaudhary, M. Abbas Ali, Ravi Mathur
Objective: This Study was done with the Aim to investigate various Clinico-pathological aspects of Tubercular cervical lymphadenitis. Material and Methods: Four hundred patients with cervical lymphadenopathy of all age group, out of which 220 males and 180 females who attended OPD of NIMS Medical college, Jaipur between March 2009 and Feb 2013 were included in study.FNAC of Cervical lymph nodes was done. The lymph node biopsy was done in selected patients. Mycobacterial culture was also done in selected patients. Total 218 cases of tubercular cervical lymphadenitis (proved by FNAC/Biopsy) were included in this study. Results: Most common cause of cervical lymphadenopathy was found to be tubercular in 218 patients (54.5%). Female/Male Ratio was 1:84. Younger Age Group (15-30 years) was most commonly affected, seen in 77 patients (35.32%). Diagnostic accuracy of FNAC in tubercular lymphadenitis was 95.41% .Concurrent pulmonary tuberculosis was seen in 33 patients (15%).Constitutional symptoms were present in 32 patients(14.67%).Montoux Test was positive in 100 patients(45.87%). Posterior Triangle of neck was most commonly involved.Commonest presentation of tubercular lymph nodes was multiple matted lymph nodes, seen in 110 patients (50.45%).In our study 150 patients (68.80%) presented as 2-4cms size lymph nodes. Conclusion: This study also emphasizes that complications can be minimized by regular anti tubercular treatment, good patient compliance and regular follow up especially for development of fresh complications.
Keywords: Tubercular cervical lymphadenitis, FNAC, ATT, Defaulters, Excisional biopsy, mycobacterium culture.
Vineet Chaudhary, M. Abbas Ali, Ravi Mathur. TUBERCULAR CERVICAL LYMPHADENITIS : EXPERIENCE OVER A FOUR YEAR PERIOD International Journal of Current Research and Review. Vol 06 Issue 06, March, 93-99
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