Cruz Andrea T, Hernandez J Alberto
From the *Sections of Infectious Diseases and Emergency Medicine, Department of Pediatrics, and †The Department of Interventional Radiology, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas.
Pediatr Infect Dis J. 2016 Oct;35(10):1154-6. doi: 10.1097/INF.0000000000001251.
Peripheral lymphadenopathy (scrofula) is the second most common site for childhood tuberculosis. Paradoxical reactions are commonly seen even in immunocompetent children after therapy is initiated, and this can lead to draining sinus tracts. We describe a multimodal therapeutic option of antituberculosis therapy, corticosteroids and therapeutic ultrasound-guided nodal aspiration in an adolescent with massive cervical adenopathy.
