Thompson J N, Watanabe M J, Greene G R, Morozumi P A, Kohut R I
Laryngoscope. 1980 Feb;90(2):287-94. doi: 10.1288/00005537-198002000-00014.
Atypical mycobacterium cervical adenitis (AMCA) is a disease primarily of childhood and usually presents as a unilateral mass or draining sinus. The pathogens are mycobacteria which are distinct from Mycobacteria tuberculosis, leprae and bovis (the typical mycobacteria). The atypical mycobacteria are readily recovered from the environment and are generally of low virulence. They are increasingly being recognized as pathogen for man though they are probably not transmissible from human contact. Most commonly these organisms are implicated in either pulmonary disease or lymphadenopathy. Fourteen cases of AMCA occurring in childhood are presented. A review of the bacteriology of the atypical mycobacteria is included. The clinical presentation, differential diagnosis, chemotherapeutic management and role of surgical intervention are discussed.
非典型分枝杆菌性颈淋巴结炎（AMCA）主要是一种儿童疾病，通常表现为单侧肿块或引流窦道。病原体是分枝杆菌，与结核分枝杆菌、麻风分枝杆菌和牛分枝杆菌（典型分枝杆菌）不同。非典型分枝杆菌很容易从环境中分离出来，且毒力一般较低。尽管它们可能不会通过人际接触传播，但越来越多地被认为是人类病原体。这些微生物最常与肺部疾病或淋巴结病有关。本文报告了14例儿童期发生的AMCA病例。文中还包括对非典型分枝杆菌细菌学的综述。讨论了临床表现、鉴别诊断、化疗管理及手术干预的作用。
