Harris B H, Webb H W, Wilkinson A H, Santelices A A
J Pediatr Surg. 1982 Oct;17(5):589-90. doi: 10.1016/s0022-3468(82)80116-4.
The plan for cervical lymph node biopsy should include special maneuvers for recognition of patients with lymphadenitis due to atypical mycobacteria, since these children need extensive operations. The diagnosis should be suspected in children less than 3 yr old with lymphadenopathy present for several months and no exposure to cats (or with negative cat scratch skin tests). Wide local excision of all visibly involved nodes is recommended; acid-fast touch preparations should be done and interpreted during operation in any suspicious case. Limited operations should be avoided in children with mycobacterial lymphadenitis. The illness may be more common than previously suspected.
颈部淋巴结活检计划应包括特殊操作，以识别非典型分枝杆菌引起淋巴结炎的患者，因为这些儿童需要进行广泛的手术。对于3岁以下、淋巴结肿大持续数月且无接触猫史（或猫抓皮肤试验阴性）的儿童，应怀疑有此诊断。建议对所有明显受累的淋巴结进行广泛局部切除；在任何可疑病例中，术中应进行抗酸染色触片制备并解读结果。对于患有分枝杆菌性淋巴结炎的儿童，应避免进行有限的手术。这种疾病可能比以前怀疑的更为常见。
