Talmi Y P, Cohen A H, Finkelstein Y, Versano I, Zohar Y
Department of Otolaryngology, Golda Medical Center, Petah Tikvah, Israel.
Clin Pediatr (Phila). 1989 Sep;28(9):408-11. doi: 10.1177/000992288902800905.
Cervical adenopathy as the sole presentation of tuberculosis is seen infrequently in the pediatric age group. Despite modern treatment and public health measures, tuberculous cervical adenitis persists, and its prompt diagnosis and treatment are important from both a clinical and preventive health perspective. The authors report five cases of children with ages ranging from 8 to 17 years, in whom cervical adenitis was the only presentation of infection with Mycobacterium tuberculosis. The clinical presentation and methods of diagnosis and treatment are described, and the difficulty of differentiation between infections with M. tuberculosis and non-tuberculous mycobacterial infections is stressed. Tuberculous cervical adenitis should be considered in cases of an elusive diagnosis of a cervical mass in the pediatric patient.
颈淋巴结病作为结核病的唯一表现，在儿童年龄组中很少见。尽管有现代治疗方法和公共卫生措施，结核性颈淋巴结炎仍然存在，从临床和预防健康的角度来看，其及时诊断和治疗都很重要。作者报告了5例年龄在8至17岁之间的儿童病例，这些儿童的颈淋巴结炎是结核分枝杆菌感染的唯一表现。描述了临床表现以及诊断和治疗方法，并强调了区分结核分枝杆菌感染和非结核分枝杆菌感染的困难。对于儿科患者颈部肿块难以诊断的病例，应考虑结核性颈淋巴结炎。
