分枝杆菌性颈淋巴结炎：一个持续存在的诊断难题。
Mycobacterial cervical lymphadenitis: a persistent diagnostic problem.
作者信息
Alleva M, Guida R A, Romo T, Kimmelman C P
机构信息
Department of Otolaryngology, Head and Neck Surgery, New York Medical College, NY 10003.
出版信息
Laryngoscope. 1988 Aug;98(8 Pt 1):855-7. doi: 10.1288/00005537-198808000-00013.
The most common manifestation of mycobacterial infection encountered in otolaryngologic practice is cervical lymphadenitis. Mycobacterial cervical lymphadenitis, or scrofula, remains a diagnostic and therapeutic challenge because it mimics other pathologic processes, and because of the inconsistent reliability of physical and laboratory findings. Twenty-five cases of scrofula were treated at our institution from 1973 to 1986. Positive chest x-ray was exhibited by five (20%) patients. Histologic examination of the excisional biopsy was the most reliable test with 100% positive specimens. This study emphasizes the marked variability in clinical presentation of scrofula and the importance of surgical excisional biopsy for histologic diagnosis.
在耳鼻喉科临床实践中，分枝杆菌感染最常见的表现是颈部淋巴结炎。分枝杆菌性颈部淋巴结炎，即瘰疬，仍然是一个诊断和治疗上的挑战，因为它会模仿其他病理过程，并且物理检查和实验室检查结果的可靠性也不一致。1973年至1986年，我们机构共治疗了25例瘰疬患者。5名（20%）患者胸部X光检查呈阳性。切除活检的组织学检查是最可靠的检查，标本阳性率为100%。本研究强调了瘰疬临床表现的显著变异性以及手术切除活检对组织学诊断的重要性。
Zotero 插件