Clinical Analysis of 
Tuberculous Cervical Lymphadenitis

Keimyung Medical Journal 1990;9(4):461-467.

Clinical Analysis of Tuberculous Cervical Lymphadenitis

경부 결핵성 임파선염의 임상적 분석

송달원

Abstract

Tuberculous cervical l ymphadenitis remains a diagnostic and therapeutic challenge because it mimics other pathalogic processes; and because of inconsitent reliability of physical and labaratory findings. 17 cases of tuberculous cervical lymphadenitis were treated and analyzed at the Department of Otolaryngology; Keimyung University Hospital from Jan. 1986 through Dec. 1989. The results were as follows; 1) Most common age and sex were 20~40 years; female. 2) Associated pulmonary tuberculosis was exhibited by 6 cases (35%). 3) 7 patients(41%) had abscess formation in the infected nodes and surrounding deep neck space. 4) Associated head and neck lesions were tonsil; middle ear and external ear canal; parotid gland; larynx and pharynx. 5) Histologic examination of the excisional biopsy was most reliable test for confirm the diagnosis. 6) 14 out of 17 cases had surgical intervention for I & D and excision of nodes. 7) All patients were subsequently treated with 8?18 months of antituberculous chemotherapy and had a good reults without complication except 1 case recurrence.

Key Words: Nontuberculous cervical lymphadenitis, Tuberculous cervical lymphadenitis.