Mandell F, Wright P F
Pediatrics. 1975 Jan;55(1):39-43.
The clinical response of atypical mycobacterial cervical adenitis to standard antituberculous therapy has been disappointing. Surgical procedures in the anterior cervical triangle are difficult and often complete excision is impossible. In each of four children with atypical mycobacterial cervical adenitis in this study, the institution of rifampin therapy was followed by complete resolution. Previously rifampin, a well-tolerated, orally administered drug, had been used effectively with Mycobacterium tuberculosis. The place of this drug as a major alternative to surgical excision in cases of atypical mycobacterial cervical adentis is reviewed.
非典型分枝杆菌性颈淋巴结炎对标准抗结核治疗的临床反应一直令人失望。颈前三角区的手术操作困难,往往无法完全切除。在本研究的四名患有非典型分枝杆菌性颈淋巴结炎的儿童中,使用利福平治疗后均完全康复。利福平是一种耐受性良好的口服药物,此前已有效地用于治疗结核分枝杆菌感染。本文综述了该药在非典型分枝杆菌性颈淋巴结炎病例中作为手术切除主要替代方法的地位。